Sportchiro, Llc

LBN: Sportchiro, Llc
Sportchiro, Llc is an health care organization with primary practice located at 1120 S State Route 157 Ste. 100, Edwardsville IL 62025-3786. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Sportchiro, Llc can be contacted via phone (618) 791-2983, or through Dixon, Eric Douglas via phone (618) 791-2983.

Contact Information

Primary practice address
1120 S State Route 157 Ste. 100 Edwardsville IL 62025-3786
Fax:
Website:
Authorized official contact:
Name: Dixon, Eric Douglas Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 038012183 Illinois

Profile Details

NPI number 1396008579
LBN Legal business name Sportchiro, Llc
DBA Doing business as
Authorized official Dixon, Eric Douglas Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2012
Last updated Jun 21st, 2012 - about 13 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.

Request for update

Popular Providers