Organization
BERGKAMP CHIROPRACTIC LLC
Active
Other names
Bergkamp Hart Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL SUZANNE BERGKAMP-ENGLE DC (OWNER)
(316) 682-6161
Entity
Organization
Contact information
Practice address
11330 E CENTRAL AVE, STE 500, WICHITA, KS 67206-2835
(316) 682-6161
(316) 682-7650
Mailing address
11330 E CENTRAL AVE, STE 500, WICHITA, KS 67206-2835
(316) 682-6161
(316) 682-7650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4762
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060939
BCBS
KS
01
—
141894
COVENTRY
KS
01
—
14550
PHS
KS
01
—
7590418
AETNA
KS
Enumeration date
09/17/2006
Last updated
02/06/2013
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