Erickson Chiropractic L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

694 Issued in WY

Legal business name

ERICKSON CHIROPRACTIC L.L.C.

Practice address

32 East 4TH Avenue
Afton, WY 83110

Phone

(307) 885-9414

Fax

(307) 885-9413

NPI assigned

Jul 23, 2009

Last updated

Jul 23, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clint R Erickson, D.C.NPI 1417187519

Title

Owner/Doctor of Chiropractic

Phone

(307) 885-9414

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clint R Erickson, D.C.

  • Chiropractor
  • Afton, WY
  • NPI 1417187519
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1780814889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1676",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "83110",
            "telephone_number": "307-885-9414",
            "fax_number": "307-885-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 EAST 4TH AVENUE",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "83110",
            "telephone_number": "307-885-9414",
            "fax_number": "307-885-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "307-885-9414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dejournett Enterprises LLC
• Kit Dejournett
• Kaitlyn Diedrich, COTA
• Easy Access LLC.
• Andras T. Eder, MD
• Chet Erickson, DPT
• Clint R Erickson, D.C.
• Brady Esplin, PA-C
• Jackson Riley Fitzgerald, OD
• Kristin Foreman

• Chiropractor in Afton, WY
• Providers in Afton, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.