Organization
ROCK FAMILY CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN MICHAEL ROCK DC (CHIROPRACTOR)
(785) 542-2118
Entity
Organization
Contact information
Practice address
101 W 10TH ST, EUDORA, KS 66025-9593
(785) 542-2118
(785) 542-1164
Mailing address
PO BOX 706, EUDORA, KS 66025-0706
(785) 542-2118
(785) 542-1164
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104835
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0660135
BCBS GROUP NUMBER
KS
01
—
36836019
BCBSKC GROUP #
KS
01
—
660135
MEDICARE PTAN
KS
01
—
DE4037
RRMC GROUP NUMBER
KS
Enumeration date
02/27/2007
Last updated
01/18/2013
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