PETERSEN CHIROPRACTIC LLC
NPI 1023324597
Chiropractor in Gillette, WY

Active since August 23, 2010
3805 S DOUGLAS HWY, UNIT # 2, GILLETTE, WY 82718(307) 686-0303(307) 686-2882 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petersen Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETERSEN CHIROPRACTIC LLC (NPI 1023324597) is a healthcare organization registered as a chiropractor in Gillette, Wyoming and active in the NPI registry since August 2010. The organization lists Clinton Jerome Petersen, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1023324597
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePETERSEN CHIROPRACTIC LLC
Location Address3805 S DOUGLAS HWY, UNIT # 2Gillette, WY 82718-6554
Mailing Address3805 S Douglas Hwy, Unit # 2Gillette, WY 82718-6554 · (307) 686-0303 · Fax (307) 686-2882
Fax(307) 686-2882
Organization SubpartNo
Authorized OfficialClinton Jerome PetersenDoctor/owner · (307) 686-0303
Enumeration DateAugust 23, 2010
NPI 1023324597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WY · 623
Definition
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.
3805 S DOUGLAS HWY, Gillette, WY 82718

Group Practice 1

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3805 S DOUGLAS HWY, UNIT 1
GILLETTE, WY 82718

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petersen Chiropractic LLC's NPI number?

The NPI number for Petersen Chiropractic LLC is 1023324597. It was assigned to this organization in the NPPES registry on August 23, 2010.

Where is Petersen Chiropractic LLC located?

Petersen Chiropractic LLC is located at 3805 S Douglas Hwy Unit # 2, Gillette, WY 82718. The listed phone number is (307) 686-0303.

What is Petersen Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Petersen Chiropractic LLC was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.