Provider Demographics
NPI:1821183724
Name:DOPPS CHIROPRACTIC REHABILITATION CENTER P A
Entity Type:Organization
Organization Name:DOPPS CHIROPRACTIC REHABILITATION CENTER P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOPPS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:316-944-2020
Mailing Address - Street 1:7130 W MAPLE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-2101
Mailing Address - Country:US
Mailing Address - Phone:316-944-2020
Mailing Address - Fax:316-944-3535
Practice Address - Street 1:7130 W MAPLE ST STE 200
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-2101
Practice Address - Country:US
Practice Address - Phone:316-944-2020
Practice Address - Fax:316-944-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-03733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS660067OtherBCBS
KS660067OtherBCBS