MEDICARE: MICHELLE STANTON 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	01-05712	KS

General Provider Information

NPI Number	:	1760928394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE STANTON D.C.

Provider Business Mailing Address
First Line	:	519 W MARY ST
Second Line	:	STE 115
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-2783
Country	:	US
Telephone Number	:	620-276-8743
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 W MARY ST
Second Line	:	STE 115
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-2783
Country	:	US
Telephone Number	:	620-276-8743
Fax Number	:

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

Provider Enumeration Date	:	01/06/2017
Last Update Date	:	01/06/2017

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