Provider Demographics
NPI:1730117920
Name:DOPPS, FREDRICK PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:FREDRICK
Middle Name:PAUL
Last Name:DOPPS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2243 S MERIDIAN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67213-1911
Mailing Address - Country:US
Mailing Address - Phone:316-945-2525
Mailing Address - Fax:316-945-5694
Practice Address - Street 1:2243 S MERIDIAN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67213-1911
Practice Address - Country:US
Practice Address - Phone:316-945-2525
Practice Address - Fax:316-945-5694
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS01-03653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS062113OtherBLUE CROSS BLUE SHIELD
KS231OtherPHS
KS231OtherPHS
KST74842Medicare UPIN