MEDICARE: REMINGTON CHIROPRACTIC, INC

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
1	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060066	OTHER	KS	BCBSKS NUMBER

General Provider Information

NPI Number	:	1629026075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMINGTON CHIROPRACTIC, INC

Provider Business Mailing Address
First Line	:	10333 E 21ST ST N
Second Line	:	BUILDING 100, SUITE 101
City	:	WICHITA
State	:	KS
Zip	:	67206-3543
Country	:	US
Telephone Number	:	316-315-0220
Fax Number	:	316-315-0440

Provider Business Practice Location Address
First Line	:	10333 E 21ST ST N
Second Line	:	BUILDING 100, SUITE 101
City	:	WICHITA
State	:	KS
Zip	:	67206-3543
Country	:	US
Telephone Number	:	316-315-0220
Fax Number	:	316-315-0440

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. STEVEN ALLEN DUCHARME
Credential	:	DC
Telephone Number	:	316-315-0220

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	08/22/2020

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Directions to “REMINGTON CHIROPRACTIC, INC ” Practice Location

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