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Contact Information

WYOMING CLINIC OF CHIROPRACTIC LC
528 COFFEEN AVE
SHERIDAN, WY82801-5312
 Phone: 307-461-2716
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for WYOMING CLINIC OF CHIROPRACTIC LC

NPI Number 1588149983
LBN Legal business name WYOMING CLINIC OF CHIROPRACTIC LC
Authorized official COLLIN REDINGER - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/01/2018
Last updated 10/01/2018 - About 8 years ago
Identifiers
WY Other 785 STATE LICENSE NUMBER
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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