Provider Demographics
NPI:1538271218
Name:CONSIGLI-WEGE, LINDA D (DC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:CONSIGLI-WEGE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4002
Mailing Address - Country:US
Mailing Address - Phone:785-776-1850
Mailing Address - Fax:785-776-6911
Practice Address - Street 1:1325 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4002
Practice Address - Country:US
Practice Address - Phone:785-776-1850
Practice Address - Fax:785-776-6911
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-03860111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS023536OtherBLUE CROSS BLUE SHIELD
KST77149Medicare UPIN
KS023536Medicare ID - Type Unspecified