Provider Demographics
NPI:1992010870
Name:REMINGTON CHIROPRACTIC, P.A.
Entity type:Organization
Organization Name:REMINGTON CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:DUCHARME
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-655-3210
Mailing Address - Street 1:10333 E 21ST ST N
Mailing Address - Street 2:BLDG 100, SUITE 101
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3543
Mailing Address - Country:US
Mailing Address - Phone:316-315-0220
Mailing Address - Fax:316-315-0440
Practice Address - Street 1:10333 E 21ST ST N
Practice Address - Street 2:BLDG 100, SUITE 101
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3543
Practice Address - Country:US
Practice Address - Phone:316-315-0220
Practice Address - Fax:316-315-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0104138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty