| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 08/18/2022 |
| Medicare PECOS PAC ID | 4385009455 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265150908 PECOS PAC ID: 1850757352 Enrollment ID: I20230531001544 |
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