| Swickard Chiropractic Clinic, Chartered | |
|
15050 Antioch Rd, Suite 102, Overland Park, KS 66221-8502 | |
| (913) 897-6717 | |
| (913) 897-6795 |
| Full Name | Swickard Chiropractic Clinic, Chartered |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 15050 Antioch Rd, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144387903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104028 (Kansas) | Primary |
| Provider Name | Bruce E Swickard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992733711 PECOS PAC ID: 3072513795 Enrollment ID: I20070103000300 |
| Provider Name | Nicholas James Swickard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447803630 PECOS PAC ID: 7315370657 Enrollment ID: I20191127001398 |
| Mailing Address | Practice Location Address |
|---|---|
| Swickard Chiropractic Clinic, Chartered 15050 Antioch Road, Suite 102, Overland Park, KS 66221 Ph: (913) 897-6717 | Swickard Chiropractic Clinic, Chartered 15050 Antioch Rd, Suite 102, Overland Park, KS 66221-8502 Ph: (913) 897-6717 |
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