Organization
GODDARD CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISRAEL VILLEGAS D.C. (OWNER)
(316) 794-8410
Entity
Organization
Contact information
Practice address
701 N GODDARD RD, STE. A, GODDARD, KS 67052-8861
(316) 794-8410
(316) 794-8466
Mailing address
P.O. BOX 436, GODDARD, KS 67052
(316) 794-8410
(316) 794-8466
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
KS 04020
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014211
BC/BS
KS
01
—
KS2757
PCC
KS
01
—
U05367
UPIN
KS
Enumeration date
08/24/2007
Last updated
08/24/2007
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