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SPINE & INJURY CLINIC OF LARAMIE PC NPI 1902097637


NPI Information

NPI: 1902097637
Provider Name: SPINE & INJURY CLINIC OF LARAMIE, PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3905 E GRAND AVE STE 200
LARAMIE, WY
ZIP 82070
Phone: (307) 742-2082
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SPINE & INJURY CLINIC OF LARAMIE, PC is a chiropractor in Laramie, 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. SPINE & INJURY CLINIC OF LARAMIE, PC NPI is 1902097637. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3905 E GRAND AVE STE 200
LARAMIE, WY
ZIP 82070-189
Phone: (307) 742-2082
Fax: (307) 742-2075

The provider's authorized official is Kelly Milam .
The authorized official title is Practice Manager and has the following contact phone number (307) 742-2082.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 10/12/2022.


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
1111N00000XChiropractorNo
2111NS0005XChiropractorSports PhysicianNo
3225100000XPhysical TherapistNo
42251S0007XPhysical TherapistSportsNo
52251X0800XPhysical TherapistOrthopedicNo
6111N00000XChiropractor663WYOMINGYes

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.