Bbac Independence Chiropractic
Organization Active NPI Chiropractor · Independence, KS
NPI 1245554658 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1245554658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BBAC INDEPENDENCE CHIROPRACTIC
- Practice address
- 720 W Laurel St
Independence, KS 67301-3210 - Phone
- (620) 331-5240
- Fax
- (620) 331-1569
- NPI assigned
- Mar 15, 2010
- Organization subpart
- No
Authorized official
- Name
- Cole Pasternak, DC
- Title
- Owner
- Phone
- (620) 331-5240
Practitioners 2
-
Cole Pasternak, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241209001448 | KS | Part B Supplier - Clinic/Group Practice | 7012443468 |
Receives reassigned benefits from 1 practitioner Practice locations: Independence, KS |
National Provider Directory
Locations
720 W Laurel St
Independence, KS 67301
Phone (316) 331-5240
800 W Chestnut St
Ste 3
Independence, KS 67301
Phone (620) 331-0999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
720 W Laurel St
Independence, KS 67301-3210
Mailing address
720 W Laurel St
Independence, KS 67301-3210
Phone (620) 331-5240
Other names
- Independence Chiropractic
Other providers in Independence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. 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.