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Dr. Derrick T Dube, DC
Chiropractor in Prairie Village, Kansas
NPI 1982050993

Derrick T Dube is a Chiropractor based in Gilbert, KS. Derrick T Dube practices in Prairie Village, KS and has the professional credentials of DC. The NPI Number for Derrick T Dube is 1982050993 and holds a License No. 8720 (Kansas).

The current practice location address for Derrick T Dube is 8016 State Line Rd, Prairie Village, KS and can be reached out via phone at 913-826-6837 and via fax at 913-341-4301.

Location: 8016 State Line Rd, Prairie Village, KS, 85295-1693
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982050993
Provider Name
Derrick T Dube
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
8016 State Line Rd, Prairie Village, KS, 85295-1693
Phone Number
913-826-6837
Fax Number
913-341-4301
Provider Enumeration Date
05/09/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81-2039071 01 FEDERAL TAX IDENTIFICATION NUMBER
01-05796 01 KS STATE LICENSE NUMBER
8247108 01 KS EIN
institution
Provider Business Practice Location Address Details
Address
8016 State Line Rd
City
Prairie Village
State
Kansas
Zip
66208-3721
Phone Number
913-826-6837
Fax Number
913-341-4301
person
Provider Business Mailing Address Details
Address
8016 State Line Rd
City
Prairie Village
State
Kansas
Zip
66208-3721
Phone Number
913-826-6837
Fax Number
913-341-4301
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
8720 (Arizona)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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