Provider Type Icon

MATERI CHIROPRACTIC CENTER LLC NPI 1366718751


NPI Information

NPI: 1366718751
Provider Name: MATERI CHIROPRACTIC CENTER, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
207 MAIN ST
SUNDANCE, WY
ZIP 82729
Phone: (307) 283-4040
Get Directions

MATERI CHIROPRACTIC CENTER, LLC is a chiropractor in Sundance, WY. 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. MATERI CHIROPRACTIC CENTER, LLC NPI is 1366718751. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

207 MAIN ST
SUNDANCE, WY
ZIP 82729-971
Phone: (307) 283-4040
Fax: (307) 283-4041

The provider's authorized official is Dustin R Materi .
The authorized official title is Owner and has the following contact phone number (307) 283-4040.

The enumeration date for this NPI number is 3/29/2012 and was last updated on 3/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor579WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W307657MEDICARE PINWYOMING

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.