Provider Demographics
NPI:1588792477
Name:FARR CHIROPRACTIC CLINIC, P.A.
Entity type:Organization
Organization Name:FARR CHIROPRACTIC CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-945-3261
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:VALLEY FALLS
Mailing Address - State:KS
Mailing Address - Zip Code:66088-0186
Mailing Address - Country:US
Mailing Address - Phone:785-945-3261
Mailing Address - Fax:785-945-3419
Practice Address - Street 1:HWY 16 AT WALNUT ST
Practice Address - Street 2:
Practice Address - City:VALLEY FALLS
Practice Address - State:KS
Practice Address - Zip Code:66088
Practice Address - Country:US
Practice Address - Phone:785-945-3261
Practice Address - Fax:785-945-3419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0103366111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS005491Medicare ID - Type Unspecified
KST77084Medicare UPIN
KS007302Medicare ID - Type Unspecified