Provider Demographics
NPI:1750709747
Name:ROMM CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ROMM CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:STRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1785-822-7278
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67422-0398
Mailing Address - Country:US
Mailing Address - Phone:178-548-8215
Mailing Address - Fax:
Practice Address - Street 1:104 N NELSON ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:KS
Practice Address - Zip Code:67422-5007
Practice Address - Country:US
Practice Address - Phone:178-548-8215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03792111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty