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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

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

NPI # 1902097637
LBN Legal business name SPINE & INJURY CLINIC OF LARAMIE, PC
Authorized official KELLY MILAM - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2007
Last updated 10/12/2022 - About 4 years ago
Identifiers
WY License # 663
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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