Individual
ROGER O BRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
609 CLAY ST, CHILLICOTHE, MO 64601-2606
(660) 646-6044
(660) 646-6048
Mailing address
609 CLAY ST, CHILLICOTHE, MO 64601-2606
(660) 646-6044
(660) 646-6048
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003768
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04741014
BLUE CROSS BLUE SHIELD
MO
01
—
10001319001
COMMUNITY HEALTH CHP
MO
01
—
350000892
UNITED HEALTHCARE RAILROA
MO
01
—
5078241
AETNA
MO
Enumeration date
12/22/2006
Last updated
07/08/2007
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