Individual
DIANNA WELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
125 E. ADAMS ST., CLAY CITY, IL 62824
(618) 676-1532
(618) 676-1404
Mailing address
P.O. BOX 270345, WEST ALLIS, WI 53227-0345
(414) 529-4180
(414) 858-9082
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-332004
BCBS
IL
01
—
P00267817
RAILROAD MEDICARE
IL
Enumeration date
08/29/2006
Last updated
07/08/2007
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