National Provider Identifier Database

UINTA SPINE ALIGN
Chiropractor

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.


Contact Information

UINTA SPINE ALIGN
1425 HIGHWAY 150 S STE 2
EVANSTON, WY82930-5377
Phone: 307-222-4322
Fax: 307-444-4325
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for UINTA SPINE ALIGN

NPI Number 1104692375
Legal business name
LBN
UINTA SPINE ALIGN
Authorized official JAY MANGUM - (OWNER/CEO)
Entity Organization
Organization subpart No
Enumeration date 11/29/2023
Last updated 11/29/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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