Organization
SIDES CHIROPRACTIC PA
Active
Other names
Ricky R Sides DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY REICH SIDES DC (PRESIDENT)
(336) 774-0209
Entity
Organization
Contact information
Practice address
1570 WESTBROOK PLAZA DR, WINSTON-SALEM, NC 27103
(336) 774-0209
(336) 774-0905
Mailing address
1570 WESTBROOK PLAZA DR, WINSTON-SALEM, NC 27103
(336) 774-0209
(336) 774-0905
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1218
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252L
BCBS GROUP #
—
01
—
08791
BCBS
—
05
—
890252L
—
NC
Enumeration date
10/07/2006
Last updated
02/10/2010
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