Staten McClacherty, D.C.
Individual provider Active NPI Chiropractor · Phillipsburg, KS
NPI 1891280095 · NPPES record last updated Dec 20, 2019
Key facts
- NPI
- 1891280095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-05871 (KS)
- Practice address
- 875 3Rd St
Phillipsburg, KS 67661-1612 - Phone
- (785) 543-2700
- NPI assigned
- Jun 29, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05871 | KS | Yes |
Addresses
Primary practice location
875 3Rd St
Phillipsburg, KS 67661-1612
Mailing address
875 3Rd St
Phillipsburg, KS 67661-1612
Phone (785) 543-2700
Other practice location 1
504 Main St
Stockton, KS 67669-1932
Phone (785) 425-6060
Other providers in Phillipsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.