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STATE LINE CHIROPRACTIC CENTER PA NPI 1811050966


NPI Information

NPI: 1811050966
Provider Name: STATE LINE CHIROPRACTIC CENTER, PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
8170 W 135TH ST
OVERLAND PARK, KS
ZIP 66223
Phone: (913) 291-0156
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STATE LINE CHIROPRACTIC CENTER, PA is a chiropractor in Overland Park, KS. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. STATE LINE CHIROPRACTIC CENTER, PA NPI is 1811050966. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8170 W 135TH ST
OVERLAND PARK, KS
ZIP 66223-112
Phone: (913) 291-0156

The provider's authorized official is Larry Allen Holtfrerich .
The authorized official title is President and has the following contact phone number (913) 291-0156.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 2/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor0104388KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
125203014OTHERKANSASBCBS PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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