Provider Demographics
NPI:1316424856
Name:THE CHIROPRACTIC CENTERS P.A.
Entity type:Organization
Organization Name:THE CHIROPRACTIC CENTERS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STATEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLACHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-543-2700
Mailing Address - Street 1:875 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:67661-1612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:875 3RD ST
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:KS
Practice Address - Zip Code:67661-1612
Practice Address - Country:US
Practice Address - Phone:785-543-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty