Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 10520 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 10520 | TX |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 10520 | TX |
NPI | 1396961918 |
---|---|
Provider Name | Dr. Alex J Suh |
First Address | Wichita, KS 67214 |
Second Address | Wichita, KS 67214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 13/10/2011 |