Collett Chiropractic LLC
Organization Active NPI Clinic/Center · Sharon Springs, KS
NPI 1215200480 · NPPES record last updated Jan 5, 2021
Key facts
- NPI
- 1215200480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 01-05456 (KS)
- Legal business name
- COLLETT CHIROPRACTIC LLC
- Practice address
- 322 Main St
Sharon Springs, KS 67758 - Phone
- (785) 852-4942
- NPI assigned
- Feb 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Alicia Collett
- Title
- Owner
- Phone
- (785) 852-4942
Practitioners 2
-
Alicia Collett, D.C.
-
Shaddon Jay Case, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120418000048 | KS | Part B Supplier - Clinic/Group Practice | 5395906416 |
Receives reassigned benefits from 1 practitioner Practice locations: Sharon Springs, KS |
National Provider Directory
Locations
322 N Main St
Sharon Springs, KS 67758
Phone (785) 852-4942
Interoperability endpoints
- dr.collett@cc0061.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 01-05456 | KS | Yes |
Addresses
Primary practice location
322 Main St
Sharon Springs, KS 67758
Mailing address
322 Main St
P.O. Box 476
Sharon Springs, KS 67758
Other providers in Sharon Springs, KS
- Lee Marie Ayers
- Shaddon Jay Case
- Alicia Collett
- Jordan Compton
- County of Wallace
- County of Wallace
- Kimberly A Dansel
All providers in Sharon Springs, KS · Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.