NPI 1801584503 · live from the CMS NPI Registry
Loop Care LLC
General Practice in Gillette, WY. National Provider Identifier 1801584503, active.
NPI record
| NPI | 1801584503 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Practice 208D00000X |
| Practice location | 505 Clarion Dr, Gillette, WY 82718 |
| Practice phone | 307-217-0467 |
| Mailing address | 19 8th St S, Fargo, ND 58103 |
| Enumerated | May 1, 2023 |
| Last updated | May 9, 2023 |
| Authorized official | Holly Dorr, Coo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | — |
| General Practice primary | 208D00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.