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NPI 1780814889 · live from the CMS NPI Registry

Erickson Chiropractic L.L.C.

Chiropractor in Afton, WY. National Provider Identifier 1780814889, active.

NPI record

NPI1780814889 Type 2 · organization
StatusActive
Primary specialtyChiropractor 111N00000X
Practice location32 East 4th Avenue, Afton, WY 83110
Practice phone307-885-9414
Mailing addressPo Box 1676, Afton, WY 83110
EnumeratedJuly 23, 2009
Last updatedJuly 23, 2009
Authorized officialClint Erickson, Owner/Doctor Of Chiropractic

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor primary111N00000X694 (WY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.