=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598830846
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SUSAN BUCHANAN-CHENEY D.C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/22/2006
-----------------------------------------------------
Last Update Date | 02/07/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 742 4TH ST
-----------------------------------------------------
City | PHILLIPSBURG
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67661-1916
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-543-0625
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 330 S 5TH ST
-----------------------------------------------------
City | PHILLIPSBURG
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67661-2710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-543-4953
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 01-04857
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------