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Ediss Chiropractic, Inc
Chiropractor in Douglas, Wyoming
NPI 1477736015

Ediss Chiropractic, Inc is a Chiropractor based in Douglas, WY. Ediss Chiropractic, Inc practices in Douglas, WY. The NPI Number for Ediss Chiropractic, Inc is 1477736015 and holds a License No. 574 (Wyoming).

The current practice location address for Ediss Chiropractic, Inc is 1330 E Richards St, Douglas, WY and can be reached out via phone at 307-358-3147 and via fax at 307-358-3213.

Location: 1330 E Richards St, Douglas, WY, 82633-2951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477736015
Provider Name
Ediss Chiropractic, Inc
Credential
Provider Entity Type
Organization
Address
1330 E Richards St, Douglas, WY, 82633-2951
Phone Number
307-358-3147
Fax Number
307-358-3213
Provider Enumeration Date
12/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03753001 01 BCBS CLINIC
0554501 01 WY WORKERS COMPENSATION
institution
Provider Business Practice Location Address Details
Address
1330 E Richards St
City
Douglas
State
Wyoming
Zip
82633-2951
Phone Number
307-358-3147
Fax Number
307-358-3213
person
Provider Business Mailing Address Details
Address
1330 E Richards St
City
Douglas
State
Wyoming
Zip
82633-2951
Phone Number
307-358-3147
Fax Number
307-358-3213
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
574 (Wyoming)
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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