Healthcare Provider Details

I. General information

NPI: 1518088434
Provider Name (Legal Business Name): STEPHEN W. WHEATLEY DC P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 N 6TH ST SUITE F
ATCHISON KS
66002-2416
US

IV. Provider business mailing address

104 N 6TH ST SUITE F
ATCHISON KS
66002-2416
US

V. Phone/Fax

Practice location:
  • Phone: 913-367-2269
  • Fax:
Mailing address:
  • Phone: 913-367-2269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. STEPHEN W WHEATLEY
Title or Position: OWNER
Credential: D.C.
Phone: 913-367-2269