Provider Demographics
NPI:1336270594
Name:PFRIMMER, MAX DWYANE (DC)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:DWYANE
Last Name:PFRIMMER
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 1:1041 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-2447
Mailing Address - Country:US
Mailing Address - Phone:913-682-0033
Mailing Address - Fax:913-682-7010
Practice Address - Street 1:1041 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-2447
Practice Address - Country:US
Practice Address - Phone:913-682-0033
Practice Address - Fax:913-682-7010
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03725111NR0200X, 111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NR0200XChiropractic ProvidersChiropractorRadiology
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitation
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician