MEDICARE: DR. JARROD WADE PANZER 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	01-05051	KS

General Provider Information

NPI Number	:	1700805785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARROD WADE PANZER 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	:	07/19/2006
Last Update Date	:	09/25/2012

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