Individual
DR. JONATHAN L ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 W 6TH ST, NEWTON, KS 67114-2131
(316) 283-2460
Mailing address
PO BOX 525, NEWTON, KS 67114-0525
(316) 283-2460
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03990
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059957
BCBS PROVIDER #
KS
Enumeration date
09/21/2006
Last updated
07/08/2007
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