National Provider Identifier Database

CASPER MOUNTAIN CHIROPRACTIC LLC
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

CASPER MOUNTAIN CHIROPRACTIC LLC
5850 EAST 2ND STREET
SUITE B
CASPER, WY82609
Phone: 307-473-1000
Fax: 307-473-1014
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for CASPER MOUNTAIN CHIROPRACTIC LLC

NPI Number 1548488851
Legal business name
LBN
CASPER MOUNTAIN CHIROPRACTIC LLC
Authorized official SHANE COPELAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 661

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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