Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4673 | KS |
NPI | 1003919242 |
---|---|
Provider Name | Dr. Thomas Dale Reifschneider |
First Address | Fort Scott, KS 66701-1302 |
Second Address | Fort Scott, KS 66701-1302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060466 | BC/BS (01) | KS |
1494747 | FIRST HEALTH NETWORK (01) | KS |
223279 | COVENTRY (01) | KS |
671454 | ACN (01) | KS |
P00182473 | RAILROAD RETIREMENT BOARD (01) | KS |