Provider Demographics
NPI:1528067659
Name:KORPI, JOHN THOMAS (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:KORPI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:KS
Mailing Address - Zip Code:66538-1536
Mailing Address - Country:US
Mailing Address - Phone:785-336-3384
Mailing Address - Fax:785-336-6571
Practice Address - Street 1:610 N 9TH ST
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:KS
Practice Address - Zip Code:66538-1536
Practice Address - Country:US
Practice Address - Phone:785-336-3384
Practice Address - Fax:785-336-6571
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04152111N00000X
NE1040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS14144OtherBC/BS
KS014144Medicare ID - Type Unspecified
KS14144OtherBC/BS