Individual
DR. GLENN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC - CHIROPRACTIC
Contact information
Practice address
3320 PETERSON RD, SUITE 100, LAWRENCE, KS 66049-1738
(785) 843-3979
(785) 843-3979
Mailing address
3320 PETERSON RD, SUITE 100, LAWRENCE, KS 66049-1738
(785) 843-3979
(785) 843-3979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04177
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023853
BCBS KANSAS
KS
Enumeration date
08/30/2006
Last updated
03/15/2012
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