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NPI Code Detail

MEDICARE: COUNSELMAN CHIROPRACTIC CLINIC, PA

MEDICARE: COUNSELMAN CHIROPRACTIC CLINIC, PA
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
1111N00000XChiropractor01-05070KS

General Provider Information

NPI Number : 1306267638
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELMAN CHIROPRACTIC CLINIC, PA
Provider Business Mailing Address
First Line : 1408 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1819
Country : US
Telephone Number : 785-234-0521
Fax Number : 785-234-2405
Provider Business Practice Location Address
First Line : 1408 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1819
Country : US
Telephone Number : 785-234-0521
Fax Number : 785-234-2405
Authorized Official
Title or Position : PRESIDENT
Name : DR. BRETT LEE COUNSELMAN
Credential : DC
Telephone Number : 785-234-0521
Provider Enumeration Date : 01/06/2014
Last Update Date : 01/06/2014

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1578621041 — BRETT LEE COUNSELMAN D.C.
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1316871452 — MARGUARITA MARTINEZ
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Directions to “COUNSELMAN CHIROPRACTIC CLINIC, PA ” Practice Location

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