Provider Demographics
NPI:1649856378
Name:TRB ENTERPRISES
Entity type:Organization
Organization Name:TRB ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHLKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-540-6615
Mailing Address - Street 1:21848 W 123RD TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7629
Mailing Address - Country:US
Mailing Address - Phone:712-540-6615
Mailing Address - Fax:
Practice Address - Street 1:14865 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2205
Practice Address - Country:US
Practice Address - Phone:712-540-6615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty