Basic Information
Provider Information
NPI: 1194890707
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TARTLER
FirstName: ADRIAN
MiddleName: LASZLO
NamePrefix:  
NameSuffix:  
Credential: D.C.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 311 N QUENTIN ST
Address2:  
City: WICHITA
State: KS
PostalCode: 672083714
CountryCode: US
TelephoneNumber: 3166509187
FaxNumber:  
Practice Location
Address1: 3425 W CENTRAL AVE
Address2:  
City: WICHITA
State: KS
PostalCode: 672034919
CountryCode: US
TelephoneNumber: 3169460990
FaxNumber: 3169431139
Other Information
ProviderEnumerationDate: 11/21/2006
LastUpdateDate: 02/07/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111NI0900XT-00986KSY Chiropractic ProvidersChiropractorInternist

No ID Information.


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