Organization
CARPENTER CHIROPRACTIC HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASE R CARPENTER DC (SOLE MEMBER)
(913) 352-8344
Entity
Organization
Contact information
Practice address
714 MAIN ST, PLEASANTON, KS 66075-8262
(913) 352-8344
(913) 352-6675
Mailing address
PO BOX 436, PLEASANTON, KS 66075-0436
(913) 352-8344
(913) 352-6675
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4776
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060922
BLUE CROSS BLUE SHIELD
KS
01
—
37198021
BLUE CROSS BLUE SHIELD KANSAS CITY
KS
01
—
P00233386
PALMETTO GBA
KS
Enumeration date
01/12/2012
Last updated
01/03/2023
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