Organization
STATE LINE CHIROPRACTIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY ALLEN HOLTFRERICH DC (PRESIDENT)
(913) 291-0156
Entity
Organization
Contact information
Practice address
8170 W 135TH ST, OVERLAND PARK, KS 66223-1112
(913) 291-0156
Mailing address
8170 W 135TH ST, OVERLAND PARK, KS 66223-1112
(913) 291-0156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104388
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25203014
BCBS PROVIDER NUMBER
KS
Enumeration date
12/19/2006
Last updated
02/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us