Wood River Chiropractic
LBN: Ican Clinic Llc
Wood River Chiropractic is an health care organization with primary practice located at 441 S State Route 157 Ste 102 , Edwardsville IL 62025-4017. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Ican Clinic Llc can be contacted via phone (618) 254-2273, or through Harbison, Michael S via phone (618) 254-2273.
Contact Information
Primary practice address
441 S State Route 157 Ste 102
Edwardsville IL 62025-4017
Phone: (618) 254-2273
Fax: (618) 254-8476
Website:
Authorized official contact:
Name: Harbison, Michael S Doctor of Chiropractic (DC)
Phone: (618) 254-2273
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038.12178 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1669722872 |
|---|---|
| LBN Legal business name | Ican Clinic Llc |
| DBA Doing business as | Wood River Chiropractic |
| Authorized official | Harbison, Michael S Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2012 |
| Last updated | Aug 3rd, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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