Provider Demographics
NPI:1255407706
Name:BEAUPREZ, DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:BEAUPREZ
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 OAK ST
Mailing Address - Street 2:
Mailing Address - City:WHEATLAND
Mailing Address - State:WY
Mailing Address - Zip Code:82201-2237
Mailing Address - Country:US
Mailing Address - Phone:307-322-3533
Mailing Address - Fax:
Practice Address - Street 1:1557 OAK ST
Practice Address - Street 2:
Practice Address - City:WHEATLAND
Practice Address - State:WY
Practice Address - Zip Code:82201-2237
Practice Address - Country:US
Practice Address - Phone:307-322-3533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY502111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY350052384OtherPALMETTO GBA - RAILROAD MEDICARE
WY00012402OtherBANNER PROVIDER #
WY306457OtherBCBS PROVIDER #
WY151098300Medicaid
WY554585OtherWORKER'S COMP #