Provider Demographics
NPI:1174594212
Name:TORKELSON CHIROPRACTIC, P.A.
Entity type:Organization
Organization Name:TORKELSON CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP. TREASURER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TORKELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-472-3450
Mailing Address - Street 1:226 N DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:67439-3208
Mailing Address - Country:US
Mailing Address - Phone:785-472-3450
Mailing Address - Fax:
Practice Address - Street 1:226 N DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:KS
Practice Address - Zip Code:67439-3208
Practice Address - Country:US
Practice Address - Phone:785-472-3450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0660010Medicare ID - Type Unspecified
KS023887Medicare UPIN