Provider Demographics
NPI:1700089489
Name:ALIGNED ROOP CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:ALIGNED ROOP CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:GARETT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ROOP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-537-3686
Mailing Address - Street 1:2505 ANDERSON AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-3027
Mailing Address - Country:US
Mailing Address - Phone:785-537-3686
Mailing Address - Fax:785-537-3811
Practice Address - Street 1:2505 ANDERSON AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-3027
Practice Address - Country:US
Practice Address - Phone:785-537-3686
Practice Address - Fax:785-537-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS660176OtherBLUE CROSS AND SHIELD OF KANSAS
KS660176OtherMEDICARE GROUP