CHIROPRACTIC WELLNESS CENTER P.C. NPI 1659566974

NPI Information

CHIROPRACTIC WELLNESS CENTER, P.C. is a health service clinic center in Gillette, WY. CHIROPRACTIC WELLNESS CENTER, P.C. NPI is 1659566974. The provider is registered as an organization entity type.

The provider's business location address is:

404 S DOUGLAS HWY
GILLETTE, WY
ZIP 82716-029
Phone: (307) 682-4000
Fax: (307) 686-0768

The provider's authorized official is Kirsten Kim Maycock .
The authorized official title is President and has the following contact phone number (307) 682-4000.

The CLIA number assigned to this NPI record is 53D2052655 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 3/13/2008.

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:

Other Identifiers

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

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