Individual
DR. EMILY J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, DICCP
Contact information
Practice address
829 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6102
(715) 833-3505
(715) 833-8515
Mailing address
829 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6102
(715) 833-3505
(715) 833-8515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3693-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350050837
RAILROAD MEDICARE
WI
05
—
38960000
—
WI
01
—
392007133011
BLUE CROSS
WI
Enumeration date
07/28/2005
Last updated
08/25/2011
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