MEDICARE: RICK D HANCOCK DC PA

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	01-03542	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00011496	OTHER	KS	RAILROAD MEDICARE PTAN
2	060989	OTHER	KS	MEDICARE PTAN

General Provider Information

NPI Number	:	1477861987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICK D HANCOCK DC PA

Provider Business Mailing Address
First Line	:	206 SW TOPEKA BLVD
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66603-3060
Country	:	US
Telephone Number	:	785-357-0375
Fax Number	:	785-357-4103

Provider Business Practice Location Address
First Line	:	206 SW TOPEKA BLVD
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66603-3060
Country	:	US
Telephone Number	:	785-357-0375
Fax Number	:	785-357-4103

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	RICK DEAN HANCOCK
Credential	:	CHIROPRACTOR
Telephone Number	:	785-357-0375

Provider Enumeration Date	:	09/17/2010
Last Update Date	:	09/17/2010

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Directions to “RICK D HANCOCK DC PA ” Practice Location

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