Organization
HAMMOND CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ELLIS (OFFICE MANAGER)
(913) 248-9500
Entity
Organization
Contact information
Practice address
10610 SHAWNEE MISSION PKWY, STE 210, SHAWNEE, KS 66203-3508
(913) 248-9500
(913) 248-1212
Mailing address
10610 SHAWNEE MISSION PKWY, STE 210, SHAWNEE, KS 66203-3508
(913) 248-9500
(913) 248-1212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104568
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA2040001
PTAN
—
Enumeration date
08/31/2006
Last updated
07/12/2010
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