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Contact Information

EDISS CHIROPRACTIC, INC
1330 E RICHARDS ST
DOUGLAS, WY82633-2951
 Phone: 307-358-3147
 Fax: 307-358-3213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for EDISS CHIROPRACTIC, INC

NPI # 1477736015
LBN Legal business name EDISS CHIROPRACTIC, INC
Authorized official MICHELE LISCO-EDISS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2007
Last updated 01/20/2021 - About 5 years ago
Identifiers
WY License # 574
Other 03753001 BCBS CLINIC
WY Other 0554501 WORKERS COMPENSATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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