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Contact Information

MATERI CHIROPRACTIC CENTER, LLC
207 MAIN ST
SUNDANCE, WY82729-0971
 Phone: 307-283-4040
 Fax: 307-283-4041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MATERI CHIROPRACTIC CENTER, LLC

NPI Number 1366718751
LBN Legal business name MATERI CHIROPRACTIC CENTER, LLC
Authorized official DUSTIN MATERI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2012
Last updated 03/29/2012 - About 14 years ago
Identifiers
WY License # 579
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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