Individual
JEREMY D RODROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
603 AMES ST, BALDWIN CITY, KS 66006-5200
(785) 594-4894
(785) 594-2597
Mailing address
603 AMES ST, BALDWIN CITY, KS 66006-5200
(785) 594-4894
(785) 594-2597
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
01-04705
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062173
BLUE CROSS BLUE SHIELD KS
KS
01
—
20061
HEALTHCARE PREFERRED
KS
01
—
4401079
UNITED HEALTHCARE
KS
01
—
477702
HEALTHLINK
KS
01
—
7122161
AETNA
KS
Enumeration date
05/24/2005
Last updated
02/13/2025
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