Provider Demographics
NPI:1093528887
Name:HADLOCK CHIROPRACTIC LLC
Entity type:Organization
Organization Name:HADLOCK CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HADLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-832-3094
Mailing Address - Street 1:14614 MARTY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2246
Mailing Address - Country:US
Mailing Address - Phone:913-832-3094
Mailing Address - Fax:913-685-0309
Practice Address - Street 1:14331 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2988
Practice Address - Country:US
Practice Address - Phone:913-685-0023
Practice Address - Fax:913-685-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty