| Auburn Hills Chiropractic And Rehabilitation Llc | |
|
13605 W Maple St Suite 105 Wichita KS 67235-8759 | |
| (316) 721-2220 | |
| (316) 721-2226 |
| Full Name | Auburn Hills Chiropractic And Rehabilitation Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13605 W Maple St, Wichita, Kansas |
| Authorized Official Name and Position | Rourk Thomas Weaver (PRESIDENT) |
| Authorized Official Contact | 3167212220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Hills Chiropractic And Rehabilitation Llc 13605 W Maple St Suite 105 Wichita KS 67235-8759 Ph: (316) 721-2220 | Auburn Hills Chiropractic And Rehabilitation Llc 13605 W Maple St Suite 105 Wichita KS 67235-8759 Ph: (316) 721-2220 |
| NPI Number | 1063853059 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 5890938393 |
|---|---|
| Medicare Enrollment ID | O20130903000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063853059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01-05557 (Kansas) | Primary |
| Provider Name | Rourk Thomas Weaver |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073884078 PECOS PAC ID: 2062671969 Enrollment ID: I20130903000359 |
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