Custom Chiropractic Center Llc

LBN: Custom Chiropractic Center Llc
Custom Chiropractic Center Llc is an health care organization with primary practice located at 6220 Antioch Rd Suite 200, Shawnee Mission KS 66202-2866. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Custom Chiropractic Center Llc can be contacted via phone (913) 722-1113, or through Rudd, Arvil Lonnie via phone (913) 722-1113.

Contact Information

Primary practice address
6220 Antioch Rd Suite 200 Shawnee Mission KS 66202-2866
Phone: (913) 722-1113
Fax: (913) 722-2677
Website:
Map and Directions
Authorized official contact:
Name: Rudd, Arvil Lonnie Doctor of Chiropractic (DC)
Phone: (913) 722-1113

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 01-04887 Kansas

Profile Details

NPI number 1659562148
LBN Legal business name Custom Chiropractic Center Llc
DBA Doing business as
Authorized official Rudd, Arvil Lonnie Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2007
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659562148 NPPES
Other 33911023 BLUE CROSS BLUE SHIELD
Other P00220339 BLUE CROSS BLUE SHIELD

Popular Providers