MEDICARE: DR. ELIZABETH ROSE CUNNINGHAM D.C.

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	4916	KS

General Provider Information

NPI Number	:	1629122577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH ROSE CUNNINGHAM D.C.

Provider Business Mailing Address
First Line	:	1100 SW WANAMAKER RD
Second Line	:	SUITE 10
City	:	TOPEKA
State	:	KS
Zip	:	66604-3805
Country	:	US
Telephone Number	:	785-273-5300
Fax Number	:	785-273-3575

Provider Business Practice Location Address
First Line	:	1100 SW WANAMAKER RD
Second Line	:	SUITE 10
City	:	TOPEKA
State	:	KS
Zip	:	66604-3805
Country	:	US
Telephone Number	:	785-273-5300
Fax Number	:	785-273-3575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

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