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PRIDHAM LLC NPI 1952897712


NPI Information

NPI: 1952897712
Provider Name: PRIDHAM LLC

Doing Business As: HEALTHSOURCE OF CASPER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
426 W 1ST ST
CASPER, WY
ZIP 82601
Phone: (307) 266-6908
Get Directions

PRIDHAM LLC is a chiropractor in Casper, 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. PRIDHAM LLC NPI is 1952897712. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthsource Of Casper.

The provider's business location address is:

426 W 1ST ST
CASPER, WY
ZIP 82601-408
Phone: (307) 266-6908
Fax: (307) 266-2583

The provider's authorized official is Nina Pridham .
The authorized official title is Owner/doctor and has the following contact phone number (503) 703-6120.

The enumeration date for this NPI number is 7/5/2018 and was last updated on 7/5/2018.


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
1111N00000XChiropractor772WYOMINGYes

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

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