Healthcare Provider Details
I. General information
NPI: 1710281928
Provider Name (Legal Business Name): JAMES LOYD & ZOE LOYD DBA LOYD CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/03/2011
Last Update Date: 01/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
109 W HESSE ST
BUFFALO WY
82834-1501
US
IV. Provider business mailing address
109 W HESSE ST
BUFFALO WY
82834-1501
US
V. Phone/Fax
- Phone: 307-684-2449
- Fax: 307-684-2132
- Phone: 307-684-2449
- Fax: 307-684-2132
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 560 |
| License Number State | WY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | 559 |
| License Number State | WY |
VIII. Authorized Official
Name: DR.
JAMES
WILLIAM
LOYD
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 307-684-2449