Organization
SCOTT CITY CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DICK L COCKERILL DC (CEO)
(620) 872-2310
Entity
Organization
Contact information
Practice address
1101 MAIN ST, SCOTT CITY, KS 67871-1824
(620) 872-2310
(620) 872-7038
Mailing address
1101 MAIN ST, SCOTT CITY, KS 67871-1824
(620) 872-2310
(620) 872-7038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3292
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005442
PTAN
—
01
—
660193
BCBS OF KS
KS
Enumeration date
05/26/2007
Last updated
06/21/2018
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