Southwest Wyoming Ent Inc in Evanston - Facial Plastic Surgery
Southwest Wyoming Ent Inc - NPI 1730335423
Southwest Wyoming Ent Inc is a Facial Plastic Surgery in Evanston, . Southwest Wyoming Ent Inc practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Southwest Wyoming Ent Inc is 1730335423. The last update date is 2013-10-24.
Southwest Wyoming Ent Inc's current location address is 191 Overthrust Rd, Evanston, . You can contact this provider via phone number 3077898721 and fax number 3077898664. The mailing address for Southwest Wyoming Ent Inc is 191 Overthrust Rd, Evanston, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Wyoming Ent Inc |
|---|---|
| Address | 191 Overthrust Rd, Evanston, |
| Phone Number | 3077898721 |
| Fax Number | 3077898664 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Haack P Jason |
| Credentials | MD |
| Telephone Number | 3077898721 |
NPI Number Detail
| NPI Number | 1730335423 |
|---|---|
| Provider Enumeration Date | 2008-08-13 |
| Last Updated Date | 2013-10-24 |
Provider Mailing Address Detail
| Address | 191 Overthrust Rd |
|---|---|
| City | Evanston |
| State | (WY) |
| Post Code | 829309261 |
| Phone Number | 3077898721 |
| Fax Number | 3077898664 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
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Post Comment/ Review Below
What is the unique identifier code issued to Southwest Wyoming Ent Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Southwest Wyoming Ent Inc has been assigned the NPI (National Provider Identifier) 1730335423. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Southwest Wyoming Ent Inc's facilities are situated?
The facilities of Southwest Wyoming Ent Inc are physically located at the following address: 191 Overthrust Rd, Evanston, WY, 829309261.
What is Southwest Wyoming Ent Inc's area of expertise and its corresponding taxonomy classification?
The Southwest Wyoming Ent Inc's field of specialization is Facial Plastic Surgery, and it falls under the taxonomy code 207Ys0123X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1730335423 to Southwest Wyoming Ent Inc?
The Southwest Wyoming Ent Inc received its 1730335423 assignment from the Centers for Medicare & Medicaid Services on 2008-08-13.
As of what date were the Southwest Wyoming Ent Inc's details last updated?
The information pertaining to the Southwest Wyoming Ent Inc, including its address, specialty, and other details, was most recently updated on 2013-10-24.