Individual
DR. BRETT MARTIN DWORKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Contact information
Practice address
708 S ROGERS RD, SUITE A, OLATHE, KS 66062-1703
(913) 782-5000
(913) 782-5005
Mailing address
708 S. ROGERS RD., SUITE A, OLATHE, KS 66062
(913) 782-5000
(913) 782-5005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-04631
KS
111NS0005X
Sports Physician Chiropractor
Primary
4631
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000B324
KANSAS MEDICARE P10
KS
01
—
20-0398766
TAX ID
KS
01
—
26604013
BCBS
KS
Enumeration date
02/20/2007
Last updated
03/12/2015
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