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NPI Code Detail

MEDICARE: BRETT LEE COUNSELMAN D.C.

MEDICARE: BRETT LEE COUNSELMAN 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
1111N00000XChiropractor01-05070KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
162331OTHERKSBCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1578621041
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT LEE COUNSELMAN D.C.
Provider Business Mailing Address
First Line : 1408 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1819
Country : US
Telephone Number : 785-234-0521
Fax Number : 785-234-2405
Provider Business Practice Location Address
First Line : 1408 SW TOPEKA BLVD
Second Line :
City : TOPEKA
State : KS
Zip : 66612-1819
Country : US
Telephone Number : 785-234-0521
Fax Number : 785-234-2405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 07/08/2007

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Directions to “ BRETT LEE COUNSELMAN D.C.” Practice Location

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