MEDICARE: GOOD HEALTH CHIROPRACTIC & ACUPUNCTURE LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	01-05210	KS

General Provider Information

NPI Number	:	1649426784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD HEALTH CHIROPRACTIC & ACUPUNCTURE LLC.

Provider Business Mailing Address
First Line	:	11124 E 28TH ST N
Second Line	:	SUITE 110
City	:	WICHITA
State	:	KS
Zip	:	67226-4562
Country	:	US
Telephone Number	:	316-613-2004
Fax Number	:	316-613-2004

Provider Business Practice Location Address
First Line	:	11124 E 28TH ST N
Second Line	:	SUITE 110
City	:	WICHITA
State	:	KS
Zip	:	67226-4562
Country	:	US
Telephone Number	:	316-613-2004
Fax Number	:	316-613-2004

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM EVERETT GOOD
Credential	:	D.C.
Telephone Number	:	316-613-2004

Provider Enumeration Date	:	08/08/2008
Last Update Date	:	09/30/2013

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