Andover Chiropractic Center, Inc. in Andover - Sports Physician

Andover Chiropractic Center, Inc. - NPI 1639252703

Andover Chiropractic Center, Inc. is a Sports Physician in Andover, Kansas. Andover Chiropractic Center, Inc. practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Andover Chiropractic Center, Inc. is 1639252703. The last update date is 2007-10-05.

Andover Chiropractic Center, Inc.'s current location address is Po Box 593, Andover, Kansas. You can contact this provider via phone number 3167335454 and fax number 3167335404. The mailing address for Andover Chiropractic Center, Inc. is Po Box 593, Andover, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Andover Chiropractic Center, Inc.
Address Po Box 593, Andover, Kansas
Phone Number 3167335454
Fax Number 3167335404
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Poe Paul Rodney
Credentials D.C.
Telephone Number 3167335454

NPI Number Detail

NPI Number 1639252703
Provider Enumeration Date 2006-10-23
Last Updated Date 2007-10-05

Provider Mailing Address Detail

Address Po Box 593
City Andover
State Kansas (KS)
Post Code 670020593
Phone Number 3167335454
Fax Number 3167335404

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 01-03532
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3013 KS PHS - PROVIDER #
660187 KS BC/BS

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FAQs about Andover Chiropractic Center, Inc.

What is the unique identification code assigned to Andover Chiropractic Center, Inc. by the Centers for Medicare & Medicaid Services?

The Andover Chiropractic Center, Inc. has been issued the NPI (National Provider Identifier) 1639252703. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Andover Chiropractic Center, Inc. is geographically located?

The Andover Chiropractic Center, Inc. is physically situated at the following location: Po Box 593, Andover, KS, 670020593.

What is Andover Chiropractic Center, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Andover Chiropractic Center, Inc.'s specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.

On what date did the Andover Chiropractic Center, Inc. receive its 1639252703 assignment from the Centers for Medicare & Medicaid Services?

The Andover Chiropractic Center, Inc. was assigned its 1639252703 by the Centers for Medicare & Medicaid Services on 2006-10-23.

When was the information regarding Andover Chiropractic Center, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Andover Chiropractic Center, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-05.

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