National Provider Identifier Database

EDISS CHIROPRACTIC INC
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

EDISS CHIROPRACTIC, INC
1330 E RICHARDS ST
DOUGLAS, WY82633-2951
Phone: 307-358-3147
Fax: 307-358-3213
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for EDISS CHIROPRACTIC, INC

NPI Number 1477736015
Legal business name
LBN
EDISS CHIROPRACTIC, INC
Authorized official MICHELE LISCO-EDISS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/05/2007
Last updated 01/20/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 574
  • Other: 03753001 BCBS CLINIC
  • WY Other: 0554501 WORKERS COMPENSATION

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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