Provider Demographics
NPI:1700087798
Name:STUART CHIROPRACTIC HEALTH CENTER LLC
Entity Type:Organization
Organization Name:STUART CHIROPRACTIC HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-830-8166
Mailing Address - Street 1:1420 KASOLD DR STE C
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3456
Mailing Address - Country:US
Mailing Address - Phone:785-830-8166
Mailing Address - Fax:785-830-8144
Practice Address - Street 1:1420 KASOLD DR STE C
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3456
Practice Address - Country:US
Practice Address - Phone:785-830-8166
Practice Address - Fax:785-830-8144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4941111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty