Holly Muriel Hattan, DC
Individual provider Active NPI Chiropractor · Council Grove, KS
NPI 1154927366 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1154927366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-06074 (KS)
- Practice address
- 304 W Main St
Council Grove, KS 66846-1707 - Phone
- (620) 767-5860
- NPI assigned
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DHC Health and Wellness PA
Practice addresses (Care Compare)
304 W Main St
Council Grove, KS 66846-1707
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210310000103 | KS | Practitioner - Chiropractic | 1658787049 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-06074 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHC Health and Wellness P.a. | Chiropractor | Current |
Accepting new patients |
| Sorell Chiropractic Clinic, PA | Chiropractor | Current |
Accepting new patients |
Locations
304 W Main St
Council Grove, KS 66846
Phone (620) 767-5860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-06074 | KS | Yes |
Addresses
Primary practice location
304 W Main St
Council Grove, KS 66846-1707
Mailing address
304 W Main St
Council Grove, KS 66846-1707
Other providers in Council Grove, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.