Provider Demographics
NPI:1316464662
Name:ROMM, PATRICK CHARLES (DC)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:CHARLES
Last Name:ROMM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-3601
Mailing Address - Country:US
Mailing Address - Phone:620-504-6344
Mailing Address - Fax:
Practice Address - Street 1:1319 E 1ST ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-3601
Practice Address - Country:US
Practice Address - Phone:620-504-6344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor