Provider Demographics
NPI:1851575187
Name:BETTER LIFE CHIROPRACTIC
Entity Type:Organization
Organization Name:BETTER LIFE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:MUEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:307-332-9677
Mailing Address - Street 1:550 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-3089
Mailing Address - Country:US
Mailing Address - Phone:307-332-9677
Mailing Address - Fax:307-332-9678
Practice Address - Street 1:550 MAIN ST
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-3089
Practice Address - Country:US
Practice Address - Phone:307-332-9677
Practice Address - Fax:307-332-9678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY538111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYW305764Medicare PIN