Provider Demographics
NPI:1548342751
Name:SALISBURY, DENNIS V (DC)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:V
Last Name:SALISBURY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-0507
Mailing Address - Country:US
Mailing Address - Phone:308-432-2015
Mailing Address - Fax:308-432-3975
Practice Address - Street 1:1015 W 8TH STREET
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-0507
Practice Address - Country:US
Practice Address - Phone:308-432-2015
Practice Address - Fax:308-432-3975
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE656111N00000X
WY292111N00000X
CO2968111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
9527OtherBLUE CROSS
SD7602270OtherSOUTH DAKOTA MEDICAID
091480Medicare ID - Type Unspecified
9527OtherBLUE CROSS