Individual
DR. JOHN M BROCKWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
121 W 3RD ST, OTTAWA, KS 66067-2218
(785) 242-2386
Mailing address
121 W 3RD ST, OTTAWA, KS 66067-2218
(785) 242-2386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03361
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22734-010
BCBS OF KANSAS CITY
KS
Enumeration date
04/25/2007
Last updated
06/28/2012
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