CHIROPRACTIC WELLNESS CENTER P.C. NPI 1659566974

NPI Information

  • NPI: 1659566974
  • Provider Name: CHIROPRACTIC WELLNESS CENTER, P.C.
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 53D2052655
  • Address: 404 S DOUGLAS HWY
    GILLETTE, WY
    ZIP 82716
  • Phone: (307) 682-4000

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NPI Details

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 - physician office 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth Service586 WYWYOMINGYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W9963MEDICARE 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: 11/21/2025

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