Edified Chiropractic Company Llc | |
1184 N Gilbert Rd Ste 200 Gilbert AZ 85234-2476 | |
(480) 903-8008 | |
Not Available |
Full Name | Edified Chiropractic Company Llc |
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Speciality | Clinic/Center |
Location | 1184 N Gilbert Rd Ste 200, Gilbert, Arizona |
Authorized Official Name and Position | Todd Beck (OWNER) |
Authorized Official Contact | 2086804246 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Edified Chiropractic Company Llc 2247 S Harper Mesa AZ 85209-2423 Ph: (480) 903-8008 | Edified Chiropractic Company Llc 1184 N Gilbert Rd Ste 200 Gilbert AZ 85234-2476 Ph: (480) 903-8008 |
NPI Number | 1255059994 |
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Provider Enumeration Date | 08/18/2022 |
Last Update Date | 08/18/2022 |
Medicare PECOS PAC ID | 4385009455 |
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Medicare Enrollment ID | O20230424002603 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255059994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Carson Wilde |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1265150908 PECOS PAC ID: 1850757352 Enrollment ID: I20230531001544 |
Provider Name | Todd Beck |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1578281200 PECOS PAC ID: 9032575535 Enrollment ID: I20230602000675 |
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