EDISS CHIROPRACTIC, INC
NPI 1477736015
Chiropractor in Douglas, WY

Active since December 05, 2007
1330 E RICHARDS ST, DOUGLAS, WY 82633(307) 358-3147(307) 358-3213 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ediss Chiropractic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDISS CHIROPRACTIC, INC (NPI 1477736015) is a healthcare organization registered as a chiropractor in Douglas, Wyoming and active in the NPI registry since December 2007. The organization lists Michele F. Lisco-ediss, President, as its authorized official.

NPPES Registry Identity

NPI1477736015
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEDISS CHIROPRACTIC, INC
Location Address1330 E RICHARDS STDouglas, WY 82633-2951
Mailing Address1330 E Richards St, P.o. Box 902Douglas, WY 82633-2951 · (307) 358-3147 · Fax (307) 358-3213
Fax(307) 358-3213
Organization SubpartNo
Authorized OfficialMichele F. Lisco-edissPresident · (307) 358-5066
Enumeration DateDecember 5, 2007
Last NPPES UpdateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
NPI 1477736015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WY · 574
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.

1330 E RICHARDS ST, Douglas, WY 82633

Other Identifiers 2

Other03753001Bcbs Clinic
Other0554501WY · Workers Compensation

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477736015, enumerated as an "organization" on December 05, 2007.

The provider is located at 1330 E RICHARDS ST DOUGLAS, WY 82633 and the phone number is (307) 358-3147.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.