MITCHELL CHIROPRACTIC (BETTY L MITCHELL DC PC) NPI 1003995184

Chiropractor in Sheridan, WY

Organization Chiropractor

About MITCHELL CHIROPRACTIC (BETTY L MITCHELL DC PC)

Mitchell Chiropractic (betty L Mitchell Dc Pc) is a provider established in Sheridan, Wyoming specializing in chiropractor. The NPI number of Mitchell Chiropractic (betty L Mitchell Dc Pc) is 1003995184 and was assigned on November 2006. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Mitchell Chiropractic (betty L Mitchell Dc Pc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Mitchell Chiropractic. The authorized official of this NPI record is Dr. Betty L Mitchell Dc (President)

NPI

1003995184

Provider NameMITCHELL CHIROPRACTIC (BETTY L MITCHELL DC PC)
Provider Location Address214 W LOUCKS SHERIDAN, WY 82801
Provider Mailing Address214 W LOUCKS SHERIDAN, WY 82801
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMITCHELL CHIROPRACTIC
Other Name TypeDoing Business As (3)
Enumeration Date11-02-2006
Last Update Date05-24-2012

Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
Taxonomy DescriptionA 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

MITCHELL CHIROPRACTIC
214 W LOUCKS
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-9593

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Mailing Address

MITCHELL CHIROPRACTIC
214 W LOUCKS
SHERIDAN, WY
ZIP 82801
Phone: (307) 674-9593

Authorized Official

Authorized Official NameDR. BETTY L MITCHELL DC
Authorized Official TitlePRESIDENT
Authorized Official Phone(307) 674-9593

Group Taxonomy


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
306899MEDICARE ID-TYPE UNSPECIFIED (04)
U55079MEDICARE UPIN (02)
121665100MEDICAID (05)WY

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

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
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.