MEDICARE: WILLIAM P SCOBEE 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	01-03823	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	055876	OTHER	KS	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1922009455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM P SCOBEE D.C.

Provider Business Mailing Address
First Line	:	2434 N WOODLAWN ST
Second Line	:	SUITE 170
City	:	WICHITA
State	:	KS
Zip	:	67220-3959
Country	:	US
Telephone Number	:	316-683-5490
Fax Number	:	316-683-0630

Provider Business Practice Location Address
First Line	:	2434 N WOODLAWN ST
Second Line	:	SUITE 170
City	:	WICHITA
State	:	KS
Zip	:	67220-3959
Country	:	US
Telephone Number	:	316-683-5490
Fax Number	:	316-683-0630

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	01/05/2012

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Directions to “ WILLIAM P SCOBEE D.C.” Practice Location

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