Organization
CAPITOL CITY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWARD CHANCE D.C. (PRESIDENT)
(785) 234-0900
Entity
Organization
Contact information
Practice address
1835 NW TOPEKA BLVD, SUITE 209, TOPEKA, KS 66608-1888
(785) 234-0900
(785) 234-5832
Mailing address
1835 NW TOPEKA BLVD, SUITE 209, TOPEKA, KS 66608-1888
(785) 234-0900
(785) 234-5832
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3938
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007402220
AETNA PROVIDER #
KS
01
—
001960184003
UNITED HEALTHCARE PROV #
KS
01
—
062443
BCBS PIN #
KS
01
—
350048346
RR MEDICARE PROVIDER #
KS
01
—
660188
BLUE CROSS AND BLUE SHIELD
KS
01
—
DR2741
MEDICARE GROUP PTAN
KS
01
—
P00896062
MEDICARE PROVIDER PTAN
KS
Enumeration date
01/19/2007
Last updated
06/13/2012
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