Organization
CHIROPRACTIC CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREL HARE D.C. (SOLE MEMBER)
(620) 330-6314
Entity
Organization
Contact information
Practice address
810 MAIN ST, NEODESHA, KS 66757-1673
(620) 330-6314
Mailing address
218 N 5TH ST, PO BOX 261, NEODESHA, KS 66757-1516
(620) 330-6314
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05522
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154769727
INDIVIDUAL NPI
KS
Enumeration date
06/13/2013
Last updated
06/13/2013
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