MEDICARE: DR. EDWARD SCOTT COYLE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	01-05870	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144239062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD SCOTT COYLE DC

Provider Business Mailing Address
First Line	:	1820 W 6TH ST
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66044-1709
Country	:	US
Telephone Number	:	785-856-7600
Fax Number	:	785-856-7511

Provider Business Practice Location Address
First Line	:	1820 W 6TH ST
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66044-1709
Country	:	US
Telephone Number	:	785-856-7600
Fax Number	:	785-856-7511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	04/12/2018

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Directions to “ DR. EDWARD SCOTT COYLE DC” Practice Location

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