Organization
BOLZ CHIROPRACTIC CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY D BOLZ D.C. (DOCTOR)
(785) 272-2090
Entity
Organization
Contact information
Practice address
4990 SW 21ST ST, STE1, TOPEKA, KS 66604-3890
(785) 272-2090
(785) 272-2671
Mailing address
4990 SW 21ST ST STE1, TOPEKA, KS 66604-3890
(785) 272-2090
(785) 272-2671
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03769
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023710
MED & BCBS INDIVIDUAL #
KS
01
—
350011505
RR MEDICARE
KS
Enumeration date
05/07/2007
Last updated
06/21/2024
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