Provider Demographics
NPI:1851479158
Name:ZOLLINGER CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:ZOLLINGER CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ZOLLINGER
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:316-685-5194
Mailing Address - Street 1:9415 E HARRY ST
Mailing Address - Street 2:207
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5089
Mailing Address - Country:US
Mailing Address - Phone:316-685-5194
Mailing Address - Fax:316-685-5995
Practice Address - Street 1:9415 E HARRY ST
Practice Address - Street 2:207
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5089
Practice Address - Country:US
Practice Address - Phone:316-685-5194
Practice Address - Fax:316-685-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03749111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0060057OtherBCBS