| Jeurink Family Chiropractic And Wellness Center, Llc | |
|
325 E Main St Ste C Gardner KS 66030-1305 | |
| (913) 856-4595 | |
| (913) 856-2411 |
| Full Name | Jeurink Family Chiropractic And Wellness Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 E Main St Ste C, Gardner, Kansas |
| Authorized Official Name and Position | Tobi Jeurink (OWNER) |
| Authorized Official Contact | 9138564595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeurink Family Chiropractic And Wellness Center, Llc 325 E Main St Ste C Gardner KS 66030-1305 Ph: () - | Jeurink Family Chiropractic And Wellness Center, Llc 325 E Main St Ste C Gardner KS 66030-1305 Ph: (913) 856-4595 |
| NPI Number | 1306122460 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 11/02/2011 |
| Medicare PECOS PAC ID | 4082889209 |
|---|---|
| Medicare Enrollment ID | O20111215000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306122460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01-04746 (Kansas) | Primary |
| Provider Name | Tobi J Jeurink |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184784092 PECOS PAC ID: 6002917762 Enrollment ID: I20070724000809 |
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