MEDICARE: DR. BRANDON CHRISTOPHER WARD D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	01-05213	KS

General Provider Information

NPI Number	:	1598915993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON CHRISTOPHER WARD D.C.

Provider Business Mailing Address
First Line	:	200 MAIN ST
Second Line	:
City	:	HALSTEAD
State	:	KS
Zip	:	67056-1913
Country	:	US
Telephone Number	:	316-835-2229
Fax Number	:	316-835-2304

Provider Business Practice Location Address
First Line	:	200 MAIN ST
Second Line	:
City	:	HALSTEAD
State	:	KS
Zip	:	67056-1913
Country	:	US
Telephone Number	:	316-835-2229
Fax Number	:	316-835-2304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2008
Last Update Date	:	02/06/2023

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