Individual
JACOB MICHAEL BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3021 EAGLECREST DR, B1, EMPORIA, KS 66801-6193
(913) 638-2501
Mailing address
3021 EAGLECREST DR, B1, EMPORIA, KS 66801-6193
(913) 638-2501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4982
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36050013
BCBS #
KS
01
—
T40E199
MEDICARE INDIVIDUAL #
KS
Enumeration date
06/28/2006
Last updated
09/16/2014
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