Healthcare Provider Details

I. General information

NPI: 1487590774
Provider Name (Legal Business Name): CHRISTOPHER HAWLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1522 E A ST
CASPER WY
82601-2221
US

IV. Provider business mailing address

1522 E A ST
CASPER WY
82601-2254
US

V. Phone/Fax

Practice location:
  • Phone: 307-234-6161
  • Fax: 307-234-7033
Mailing address:
  • Phone: 307-234-6161
  • Fax: 307-234-7033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: