Bender, Jeremy D

Bender, Jeremy D is an individual health care provider with primary practice located at 813 W Douglas Ave , Wichita KS 67213-4704. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bender, Jeremy D can be contacted via phone (316) 440-4052.

Contact Information

Primary practice address
813 W Douglas Ave Wichita KS 67213-4704
Phone: (316) 440-4052
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 04869 Kansas

Profile Details

NPI number 1720173941
LBN Legal business name Bender, Jeremy D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Nov 1st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720173941 NPPES
Kansas Other 062077 BLUE CROSS
Kansas Other 062098 BLUE CROSS

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