NPI 1760668362 · live from the CMS NPI Registry
Jason R. Haycock, DC
Chiropractor in Lyman, WY. National Provider Identifier 1760668362, active.
NPI record
| NPI | 1760668362 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 225 W Owen St., Lyman, WY 82937 |
| Practice phone | 307-787-6400 |
| Mailing address | Po Box 1194, Lyman, WY 82937 |
| Enumerated | January 14, 2008 |
| Last updated | January 29, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 611 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.