Provider Demographics
NPI:1922009455
Name:SCOBEE, WILLIAM P (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:P
Last Name:SCOBEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2434 N WOODLAWN ST
Mailing Address - Street 2:SUITE 170
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-3959
Mailing Address - Country:US
Mailing Address - Phone:316-683-5490
Mailing Address - Fax:316-683-0630
Practice Address - Street 1:2434 N WOODLAWN ST
Practice Address - Street 2:SUITE 170
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67220-3959
Practice Address - Country:US
Practice Address - Phone:316-683-5490
Practice Address - Fax:316-683-0630
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS01-03823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS055876OtherBLUE CROSS BLUE SHIELD
KS055876Medicare ID - Type Unspecified