Provider Demographics
NPI:1144482449
Name:SWISHER CO
Entity type:Organization
Organization Name:SWISHER CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PROPRIETER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:SWISHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-738-2221
Mailing Address - Street 1:116 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-3235
Mailing Address - Country:US
Mailing Address - Phone:785-738-2221
Mailing Address - Fax:
Practice Address - Street 1:116 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-3235
Practice Address - Country:US
Practice Address - Phone:785-738-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC-3745111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
007301Medicare PIN