Michelle Elise Dibiase in Waycross - Chiropractor

Michelle Elise Dibiase - NPI 1689783532

Michelle Elise Dibiase is a Chiropractor in Waycross, Georgia. Michelle Elise Dibiase practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michelle Elise Dibiase is 1689783532. The last update date is 2007-07-08.

Michelle Elise Dibiase's current location address is 228 Riverside Dr, Waycross, Georgia. You can contact this provider via phone number 9122871414 and fax number 9122871884. The mailing address for Michelle Elise Dibiase is 228 Riverside Dr, Waycross, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Elise Dibiase
Address 228 Riverside Dr, Waycross, Georgia
Phone Number 9122871414
Fax Number 9122871884
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1689783532
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 228 Riverside Dr
City Waycross
State Georgia (GA)
Post Code 315013541
Phone Number 9122871414
Fax Number 9122871884

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CHIR006355
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
759966 GA BLUE CROSS BLUE SHIELD

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FAQs about Michelle Elise Dibiase

What is the Michelle Elise Dibiase's unique identification number?

The Michelle Elise Dibiase has been assigned the NPI (National Provider Identifier) Number 1689783532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Michelle Elise Dibiase's facilities are geographically located?

The facilities of Michelle Elise Dibiase are physically situated at the following location: 228 Riverside Dr, Waycross, GA, 315013541.

What is Michelle Elise Dibiase's area of expertise and its corresponding taxonomy classification?

The Michelle Elise Dibiase's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1689783532 to Michelle Elise Dibiase?

The Centers for Medicare & Medicaid Services originally issued the 1689783532 to Michelle Elise Dibiase on 2006-08-30.

When was the information regarding Michelle Elise Dibiase most recently updated?

The details pertaining to the Michelle Elise Dibiase, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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