Provider Demographics
NPI:1639444268
Name:DOPPS CHIROPRACTIC OF DERBY, LLC
Entity Type:Organization
Organization Name:DOPPS CHIROPRACTIC OF DERBY, LLC
Other - Org Name:DOPPS CHIROPRACTIC OF DERBY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAYDREE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOPPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-478-2878
Mailing Address - Street 1:1405 N ARGONIA RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:KS
Mailing Address - Zip Code:67106-8016
Mailing Address - Country:US
Mailing Address - Phone:620-478-2878
Mailing Address - Fax:620-478-2360
Practice Address - Street 1:620 N BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-1640
Practice Address - Country:US
Practice Address - Phone:316-260-9775
Practice Address - Fax:316-260-9774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty