Individual
DR. THANE JEROME PERRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
214 S ROCK RD, SUITE 103, WICHITA, KS 67207-1161
(316) 687-5362
(316) 678-5365
Mailing address
214 S ROCK RD, SUITE 103, WICHITA, KS 67207-1161
(316) 687-5362
(316) 678-5365
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
T-01729
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062480
BLUE CROSS BLUE SHIELD
KS
Enumeration date
02/04/2008
Last updated
05/14/2010
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