Laramie County Chiropractic
Organization Active NPI Chiropractor · Cheyenne, WY
NPI 1992991368 · NPPES record last updated Sep 19, 2007
Key facts
- NPI
- 1992991368
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 636 (WY)
- Legal business name
- LARAMIE COUNTY CHIROPRACTIC
- Practice address
- 800 E 20TH St Ste 240
Cheyenne, WY 82001-3868 - Phone
- (307) 638-0894
- Fax
- (307) 638-0895
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jared David Morrow, D.C.
- Title
- Owner
- Phone
- (307) 638-0894
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040825001650 | WY | Part B Supplier - Clinic/Group Practice | 5698749448 |
Receives reassigned benefits from 1 practitioner Practice locations: Cheyenne, WY |
National Provider Directory
Locations
611 E Carlson St
Ste 101
Cheyenne, WY 82009
Phone (307) 638-0894
800 E 20th St
Ste 240
Cheyenne, WY 82001
Phone (307) 638-0894
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 636 | WY | Yes |
Addresses
Primary practice location
800 E 20TH St Ste 240
Cheyenne, WY 82001-3868
Mailing address
800 E 20TH St Ste 240
Cheyenne, WY 82001-3868
Phone (307) 638-0894
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120243000 | Medicaid | WY |
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.