Provider Demographics
NPI:1801931530
Name:CHIROPRACTIC HEALTH CENTER
Entity type:Organization
Organization Name:CHIROPRACTIC HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/BILLING
Authorized Official - Prefix:
Authorized Official - First Name:BRIGIT
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-843-0367
Mailing Address - Street 1:3320 CLINTON PARKWAY CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2629
Mailing Address - Country:US
Mailing Address - Phone:785-843-0367
Mailing Address - Fax:785-843-1166
Practice Address - Street 1:3320 CLINTON PARKWAY CT
Practice Address - Street 2:SUITE 200
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2629
Practice Address - Country:US
Practice Address - Phone:785-843-0367
Practice Address - Fax:785-843-1166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03365111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS017534OtherBCBS GROUP NUMBER
KS1467551978OtherEMPLOYEE NPI
KST43981OtherPROVIDER UPIN
KS1326143488OtherEMPLOYEE NPI
KSP00278655OtherMEDICARE RAILROAD
KS1467551978OtherEMPLOYEE NPI
KS1467551978OtherEMPLOYEE NPI