Organization
OTTAWA CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE D HOLSTINE (INSURANCE MANAGER)
(785) 242-4100
Entity
Organization
Contact information
Practice address
1501 S MAIN ST, OTTAWA, KS 66067-3802
(785) 242-4100
(785) 242-4121
Mailing address
1501 S MAIN ST, OTTAWA, KS 66067-3802
(785) 242-4100
(785) 242-4121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014267
BLUE CROSS BLUE SHIELD
KS
Enumeration date
11/02/2006
Last updated
10/17/2012
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