Spine & Injury Clinic of Laramie, PC
NPI 1902097637ActiveOrganization· Chiropractor· Laramie, WY
Chiropractor in Laramie, Wyoming, registered in NPPES in August 2007. The authorized official on file is Kelly Milam, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902097637 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2007 |
| Last updated in NPPES | Oct 12, 2022 |
| Certified by provider | Oct 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 663 | WY |
| Chiropractor | 111N00000X | — | — |
| Chiropractor, Sports Physician | 111NS0005X | — | — |
| Physical Therapist | 225100000X | — | — |
| Physical Therapist, Sports | 2251S0007X | — | — |
| Physical Therapist, Orthopedic | 2251X0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WY) |
|---|
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