Individual
MR. JOSHUA SHANE METTLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1404 MAIN ST, WINFIELD, KS 67156-4327
(620) 221-6325
(620) 221-6327
Mailing address
PO BOX 623, WINFIELD, KS 67156-0623
(620) 221-6325
(620) 221-6327
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
T01102
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062428
INDIVIDUAL PROVIDER #
—
01
—
660190
GROUP PROVIDER #
—
Enumeration date
04/06/2007
Last updated
09/25/2018
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