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Contact Information

COWBOY SPINE & PERFORMANCE CENTER
520 RANDALL AVE
CHEYENNE, WY82001-2745
 Phone: 307-630-9529
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for COWBOY SPINE & PERFORMANCE CENTER

NPI Number 1811729908
LBN Legal business name COWBOY SPINE & PERFORMANCE CENTER
Authorized official GABRIEL DEAL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2024
Last updated 01/08/2025 - More than a year ago
Identifiers n/a
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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