National Provider Identifier Database

SPINE INJURY CLINIC OF LARAMIE 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

SPINE & INJURY CLINIC OF LARAMIE, PC
3905 E GRAND AVE STE 200
LARAMIE, WY82070-5189
Phone: 307-742-2082
Fax: 307-742-2075
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Orthopedic 2251X0800X
Physical Therapist 225100000X
Sports 2251S0007X
Sports Physician 111NS0005X

* Indicates primary specialty

NPI Profile & details for SPINE & INJURY CLINIC OF LARAMIE, PC

NPI Number 1902097637
Legal business name
LBN
SPINE & INJURY CLINIC OF LARAMIE, PC
Authorized official KELLY MILAM - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/07/2007
Last updated 10/12/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 663

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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