Organization
ALTERNATIVE HEALTHCARE OF ST MARYS, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL WERTIN D.C. (VICE PRESIDENT)
(785) 321-1700
Entity
Organization
Contact information
Practice address
513 W BERTRAND AVE, ST. MARYS, KS 66536-0236
(785) 321-1700
(785) 321-1702
Mailing address
513 W BERTRAND AVE, SAINT MARYS, KS 66536-1658
(785) 321-1700
(785) 321-1702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
T05197
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA1125001
MEDICARE PTAN
KS
Enumeration date
04/17/2008
Last updated
06/08/2016
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