Provider Demographics
NPI:1265408074
Name:FRANZ, SHANE M (DC)
Entity type:Individual
Prefix:DR
First Name:SHANE
Middle Name:M
Last Name:FRANZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-2300
Mailing Address - Country:US
Mailing Address - Phone:785-462-7236
Mailing Address - Fax:785-462-2170
Practice Address - Street 1:135 W 6TH ST
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-2300
Practice Address - Country:US
Practice Address - Phone:785-462-7236
Practice Address - Fax:785-462-2170
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04332111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS014609Medicare ID - Type Unspecified