HUSSKE CHIROPRACTIC CLINIC NPI 1003000688

Chiropractor in Sheridan, WY

About HUSSKE CHIROPRACTIC CLINIC

Husske Chiropractic Clinic is a provider in Sheridan, WY. The NPI number assigned to this provider is 1003000688. The practitioner's primary taxonomy code is Chiropractor (111N00000X). The provider is registered as an organization and their NPI record was last updated 11 years ago. Husske Chiropractic Clinic operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI	1003000688 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	HUSSKE CHIROPRACTIC CLINIC
Provider Location Address	1265 COFFEEN AVE SHERIDAN, WY 82801 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	1265 COFFEEN AVE SHERIDAN, WY 82801 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity Type	Organization Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	N/A
Is Organization Subpart?	No What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	08-28-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	08-28-2007 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	111N00000X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Chiropractor
Type	Chiropractic Providers
License No.	488
License State	WY
Taxonomy Description	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.

Business Address

HUSSKE CHIROPRACTIC CLINIC
1265 COFFEEN AVE
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-7433
Fax: (307) 674-6808

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Mailing Address

HUSSKE CHIROPRACTIC CLINIC
1265 COFFEEN AVE
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-7433
Fax: (307) 674-6808

Authorized Official

Authorized Official Name	MR. BRIAN A HUSSKE D.C, C.C.S.P. Authorized official name The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official Title	PROVIDER/OWNER
Authorized Official Phone	(307) 674-7433

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
U12082	MEDICARE UPIN (02)	WY

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1003000670

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