Provider Demographics
NPI:1992146971
Name:FOREMAN CHIROPRACTIC
Entity type:Organization
Organization Name:FOREMAN CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOREMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:620-875-0002
Mailing Address - Street 1:2951 SW WANAMAKER DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5320
Mailing Address - Country:US
Mailing Address - Phone:785-273-2225
Mailing Address - Fax:
Practice Address - Street 1:2951 SW WANAMAKER DR
Practice Address - Street 2:SUITE A
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5320
Practice Address - Country:US
Practice Address - Phone:785-273-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05542261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center