Provider Demographics
NPI:1932252293
Name:CHANCE, JOHN EDWARD (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:CHANCE
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 1:1903 NW TOPEKA BLVD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66608-1826
Mailing Address - Country:US
Mailing Address - Phone:785-234-0900
Mailing Address - Fax:785-234-5832
Practice Address - Street 1:1903 NW TOPEKA BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66608-1826
Practice Address - Country:US
Practice Address - Phone:785-234-0900
Practice Address - Fax:785-234-5832
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSCH3938111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS350048346OtherRR MEDICARE PROVIDER #
KS431877921OtherTAX ID #
KS0007402220OtherAETNA PROVIDER #
KS0007402220OtherAETNA PROVIDER #
KS060381Medicare ID - Type UnspecifiedMEDICARE PROVIDER #