RONALD EDMISTON DC NPI 1295831402

NPI Information

  • NPI: 1295831402
  • Provider Name: RONALD EDMISTON, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 344 S FILLMORE ST
    EDWARDSVILLE, IL
    ZIP 62025
  • Phone: (618) 692-6700

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NPI Details

Ronald Edmiston, DC is a chiropractor in Edwardsville, IL with 24 years of experience. The provider is 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 interrelationship with other body systems. Ronald Edmiston, DC NPI is 1295831402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year:2001

The provider's business location address is:

344 S FILLMORE ST
EDWARDSVILLE, IL
ZIP 62025-115
Phone: (618) 692-6700
Fax: (618) 692-6711

The enumeration date for this NPI number is 9/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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