National Provider Identifier Database

DAVIDSON CHIROPRACTIC CLINIC EVANSTON LLC
Chiropractor

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.


Contact Information

DAVIDSON CHIROPRACTIC CLINIC - EVANSTON LLC
195 FEATHER WAY STE A
EVANSTON, WY82930-9352
Phone: 307-382-0600
Fax: 307-382-0601
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for DAVIDSON CHIROPRACTIC CLINIC - EVANSTON LLC

NPI Number 1023502408
Legal business name
LBN
DAVIDSON CHIROPRACTIC CLINIC - EVANSTON LLC
Authorized official MICHAEL DAVIDSON - (DOCTOR/OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/19/2018
Last updated 06/19/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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