1689795056 NPI number — POMEROY CHIROPRACTIC WELLNESS P.A.

Table of content: MS. CHRISTINE ELIZABETH NARRIN D.O. (NPI 1477518728)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689795056 NPI number — POMEROY CHIROPRACTIC WELLNESS P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
POMEROY CHIROPRACTIC WELLNESS P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689795056
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/02/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6254 E 37TH ST N STE 110
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEL AIRE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67220-2054
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
316-686-2020
Provider Business Mailing Address Fax Number:
316-691-9859

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6254 E 37TH ST N STE 110
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEL AIRE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67220-2054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-686-2020
Provider Business Practice Location Address Fax Number:
316-691-9859
Provider Enumeration Date:
04/03/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
POMEROY
Authorized Official First Name:
SHAWN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
316-686-2020

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  01-04574 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 660084 . This is a "MEDICARE GROUP" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 62123 . This is a "BCBS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".