Healthcare Provider Details

I. General information

NPI: 1700409802
Provider Name (Legal Business Name): LUDWIG FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W MAIN ST
LYONS KS
67554-1819
US

IV. Provider business mailing address

400 W MAIN ST
LYONS KS
67554-1819
US

V. Phone/Fax

Practice location:
  • Phone: 620-257-2040
  • Fax: 620-257-2038
Mailing address:
  • Phone: 620-257-2040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ROBERT BRIAN LUDWIG
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 785-534-2279