Individual
TIMOTHY D BOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4990 SW 21ST ST, STE 1, TOPEKA, KS 66604-3890
(785) 272-2090
(785) 272-2671
Mailing address
4990 SW 21ST, STE1, TOPEKA, KS 66604-3890
(785) 231-7339
(785) 272-2671
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-03769
KS
111N00000X
Chiropractor
Primary
0103769
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023710
BLUE CROSS BLUE SHIELD
KS
01
—
350011505
RAILROAD MEDICARE
—
Enumeration date
09/21/2006
Last updated
06/24/2024
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