National Provider Identifier Database

CHIROPRACTIC SPORTS WELLNESS PC
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

CHIROPRACTIC SPORTS & WELLNESS PC
1021 E LINCOLNWAY
CHEYENNE, WY82001-4851
Phone: 307-635-7727
Fax: 307-638-0423
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for CHIROPRACTIC SPORTS & WELLNESS PC

NPI Number 1285818641
Legal business name
LBN
CHIROPRACTIC SPORTS & WELLNESS PC
Authorized official PAUL CASSISTA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/20/2007
Last updated 02/09/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 650

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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