SPINE & INJURY CLINIC OF LARAMIE, PC (NPI# 1902097637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902097637 |
| Entity Type | Organization |
| Organization Name | SPINE & INJURY CLINIC OF LARAMIE, PC |
| Practice Address |
409 S 4th St Laramie WY 82070-3728 |
| Practice Telephone | 3077422082 |
| Mailing Telephone | 3077422082 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | DR. DYLAN NATHAN MILAM (OWNER) |
| Authorized Official Telephone | 3077422082 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 663 | WY | Chiropractic Providers |
| Street Address |
409 S 4TH ST |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558744433 | Cain J Cole | Physical Therapist | 409 S 4th St, Laramie, WY 82070-3728 | 2015-07-09 |
| 1689805889 | Stephanie Lynn Dalton | Massage Therapist | 409 S 4th St, Laramie, WY 82070-3728 | 2009-08-05 |
| 1699914895 | David Michael Milam | Chiropractor | 409 S 4th St, Laramie, WY 82070-3728 | 2009-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083902365 | Mandy Jane Jairell | Chiropractor | 312 Steele St, Laramie, WY 82070-4454 | 2011-07-20 |
| 1891998696 | Terrence J. Dini | Chiropractor | 253 N 3rd St, Laramie, WY 82072-3005 | 2007-06-08 |
| 1942345327 | Fike Chiropractic Pain Relief | Chiropractor | 1267 N 15th St, Suite 123b, Laramie, WY 82072 | 2007-02-21 |
| 1548319742 | Lauren Allison Hoffman | Chiropractor | 417 E Fremont St, Laramie, WY 82072-3143 | 2007-01-09 |
| 1346335437 | Charles Cupps | Chiropractor | 212 E Ivinson, Laramie, WY 82070 | 2006-10-04 |
| 1740384452 | Brent Levi Bondurant | Chiropractor | 212 E Ivinson Ave, Laramie, WY 82070-3039 | 2006-09-12 |
| 1508876368 | Jeremy D Jones | Chiropractor | 2130 E Grand Ave, Laramie, WY 82070-4345 | 2006-08-08 |
| 1639457393 | Aspen Family Chiropractic | Chiropractor | 312 Steele St, Laramie, WY 82070-4454 | 2011-07-29 |
| 1346472289 | Mark Cupps Dc, PC | Chiropractor | 212 E Ivinson Ave, Laramie, WY 82070-3039 | 2009-08-11 |
| 1699914895 | David Michael Milam | Chiropractor | 409 S 4th St, Laramie, WY 82070-3728 | 2009-02-11 |
| Find all providers in LARAMIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.