| Bolz Chiropractic Clinic, Pa | |
|
4990 Sw 21st St, Ste1, Topeka, KS 66604-3890 | |
| (785) 272-2090 | |
| (785) 272-2671 |
| Full Name | Bolz Chiropractic Clinic, Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4990 Sw 21st St, Topeka, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750594990 | NPI | - | NPPES |
| 350011505 | Other | KS | RR MEDICARE |
| 023710 | Other | KS | MED & BCBS INDIVIDUAL # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 01-03769 (Kansas) | Primary |
| Provider Name | Timothy D Bolz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992803910 PECOS PAC ID: 0941249056 Enrollment ID: I20050428000257 |
| Provider Name | Anna Beth Mccoy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376834978 PECOS PAC ID: 2466630496 Enrollment ID: I20110622000449 |
| Provider Name | Taylor Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427709716 PECOS PAC ID: 8628462173 Enrollment ID: I20221013001374 |
| Mailing Address | Practice Location Address |
|---|---|
| Bolz Chiropractic Clinic, Pa 4990 Sw 21st St Ste1, Topeka, KS 66604-3890 Ph: (785) 272-2090 | Bolz Chiropractic Clinic, Pa 4990 Sw 21st St, Ste1, Topeka, KS 66604-3890 Ph: (785) 272-2090 |
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