Individual
DR. TANO EDWARD WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
635 W CORONA AVE STE 103, PUEBLO, CO 81004-1209
(719) 543-3433
(719) 543-5036
Mailing address
635 W CORONA AVE STE 103, PUEBLO, CO 81004-1209
(719) 543-3433
(719) 543-5036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2439
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804780
MEDICARE GROUP NUMBER
CO
01
—
AA67667
BCBS GROUP NUMBER
CO
01
—
WEA2680
BCBS INDIVIDUAL NUMBER
CO
Enumeration date
10/03/2006
Last updated
07/09/2007
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