Sportchiro, LLC
NPI #1396008579 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1396008579
- Entity Type
- Organization
- Organization Name
- Sportchiro, LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jun 21, 2012
- Last Updated
- Jun 21, 2012
Practice Location
- Address
- 1120 S STATE ROUTE 157
- Address 2
- STE. 100
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3786
- Phone
- (618) 791-2983
Authorized Official
- Name
- DR. ERIC DOUGLAS DIXON, DC
- Title
- OWNER/OPERATOR
- Phone
- (618) 791-2983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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