Rodrock, Jeremy D

Rodrock, Jeremy D is an individual health care provider with primary practice located at 603 Ames St , Baldwin City KS 66006-5200. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Rodrock, Jeremy D can be contacted via phone (785) 594-4894.

Contact Information

Primary practice address
603 Ames St Baldwin City KS 66006-5200
Phone: (785) 594-4894
Fax: (785) 594-2597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 01-04705 Kansas

Profile Details

NPI number 1861495707
LBN Legal business name Rodrock, Jeremy D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 2nd, 2023 - about 3 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 1861495707 NPPES
Kansas Other 062173 BLUE CROSS BLUE SHIELD KS
Kansas Other 477702 BLUE CROSS BLUE SHIELD KS
Kansas Other 4401079 BLUE CROSS BLUE SHIELD KS
Kansas Other 20061 BLUE CROSS BLUE SHIELD KS
Kansas Other 7122161 BLUE CROSS BLUE SHIELD KS

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