MEDICARE: DR. CHAD D WOODS D.C.

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	866	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0004755	OTHER	SD	WELLMARK BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	01B34TI	OTHER	MN	BCBS OF MINNESOTA
4	22525	OTHER	SD	SANFORD HEALTH PLAN
5	653878	OTHER	MN	ACN NETWORK

General Provider Information

NPI Number	:	1366592255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD D WOODS D.C.

Provider Business Mailing Address
First Line	:	229 W 39TH ST
Second Line	:	SUITE 300
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-5700
Country	:	US
Telephone Number	:	605-331-2052
Fax Number	:	605-274-2152

Provider Business Practice Location Address
First Line	:	229 W 39TH ST
Second Line	:	SUITE 300
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-5700
Country	:	US
Telephone Number	:	605-331-2052
Fax Number	:	605-274-2152

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	09/01/2011

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Directions to “ DR. CHAD D WOODS D.C.” Practice Location

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