Provider Demographics
NPI:1487016275
Name:GEORGE H POSTLETHWAITE DC PC
Entity Type:Organization
Organization Name:GEORGE H POSTLETHWAITE DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:H
Authorized Official - Last Name:POSTLETHWAITE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:307-324-7000
Mailing Address - Street 1:801 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:RAWLINS
Mailing Address - State:WY
Mailing Address - Zip Code:82301-5448
Mailing Address - Country:US
Mailing Address - Phone:307-324-7000
Mailing Address - Fax:307-328-2150
Practice Address - Street 1:801 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:RAWLINS
Practice Address - State:WY
Practice Address - Zip Code:82301-5448
Practice Address - Country:US
Practice Address - Phone:307-324-7000
Practice Address - Fax:307-328-2150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2019875Medicaid
WA2019875Medicaid
WAU60906Medicare UPIN