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Organization
WYOMING CLINIC OF CHIROPRACTIC LC
Active
Organization
WYOMING CLINIC OF CHIROPRACTIC LC
Active
Parent organization
WYOMING CLINIC OF CHIROPRACTIC LC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYOMING CLINIC OF CHIROPRACTIC LC
Authorized official
DR. COLLIN DREW REDINGER DC (CHIROPRACTOR)
(307) 461-2716
Entity
Organization
Contact information
Practice address
528 COFFEEN AVE, SHERIDAN, WY 82801-5312
(307) 461-2716
Mailing address
528 COFFEEN AVE, SHERIDAN, WY 82801-5312
(307) 461-2716
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
785
STATE LICENSE NUMBER
WY
Enumeration date
10/01/2018
Last updated
10/01/2018
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