Bergkamp-Engle, Jill S

Bergkamp-Engle, Jill S is an individual health care provider with primary practice located at 11330 E Central Ave Ste 500, Wichita KS 67206-2836. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bergkamp-Engle, Jill S can be contacted via phone (316) 682-6161.

Contact Information

Primary practice address
11330 E Central Ave Ste 500 Wichita KS 67206-2836
Phone: (316) 682-6161
Fax: (316) 682-7650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4762 Kansas

Profile Details

NPI number 1669478509
LBN Legal business name Bergkamp-Engle, Jill S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 19 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 1669478509 NPPES
Kansas Other 060939 BCBS
Kansas Other 141894 BCBS
Kansas Other 14550 BCBS
Kansas Other 7590418 BCBS

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