Healthcare Provider Details

I. General information

NPI: 1114181567
Provider Name (Legal Business Name): WORKMAN CHIROPRACTIC CLINIC P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 E ELM ST
LINCOLN KS
67455-2004
US

IV. Provider business mailing address

102 E ELM ST
LINCOLN KS
67455-2004
US

V. Phone/Fax

Practice location:
  • Phone: 785-524-4371
  • Fax: 785-524-4375
Mailing address:
  • Phone: 785-524-4371
  • Fax: 785-524-4375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. PETE D WORKMAN
Title or Position: OWNER
Credential: D.C.
Phone: 785-524-4371