NPI 1023502408 · live from the CMS NPI Registry
Davidson Chiropractic Clinic - Evanston LLC
Chiropractor in Evanston, WY. National Provider Identifier 1023502408, active.
NPI record
| NPI | 1023502408 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 195 Feather Way Ste A, Evanston, WY 82930 |
| Practice phone | 307-382-0600 |
| Enumerated | June 19, 2018 |
| Last updated | June 19, 2018 |
| Authorized official | Michael Davidson, Doctor/Owner |
| Other names | Davidson Chiropractic Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.