Organization
SOUTHEAST CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE C BATY D.C. (OWNER)
(316) 689-8139
Entity
Organization
Contact information
Practice address
900 GEORGE WASHINGTON BLVD, WICHITA, KS 67211
(316) 689-8139
(316) 691-5914
Mailing address
900 GEORGE WASHINGTON BLVD, WICHITA, KS 67211
(316) 689-8139
(316) 691-5914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04799
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660089
BCBS GROUP NUMBER
KS
Enumeration date
10/03/2006
Last updated
08/22/2020
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