State Of Wyoming in Evanston - General Practice
State Of Wyoming - NPI 1316011562
State Of Wyoming is a General Practice in Evanston, . State Of Wyoming practices all healthcare services and medical treatments related to General Practice. The NPI Number for State Of Wyoming is 1316011562. The last update date is 2015-11-12.
State Of Wyoming's current location address is 831 State Highway 150 S, Evanston, . You can contact this provider via phone number 3077893464 and fax number 3077897373. The mailing address for State Of Wyoming is 831 State Highway 150 S, Evanston, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Wyoming |
|---|---|
| Address | 831 State Highway 150 S, Evanston, |
| Phone Number | 3077893464 |
| Fax Number | 3077897373 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS M |
|---|---|
| Authorized Official Name | Mullenax Paul |
| Telephone Number | 3077893464 |
NPI Number Detail
| NPI Number | 1316011562 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2015-11-12 |
Provider Mailing Address Detail
| Address | 831 State Highway 150 S |
|---|---|
| City | Evanston |
| State | (WY) |
| Post Code | 829305340 |
| Phone Number | 3077893464 |
| Fax Number | 3077897373 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 15163 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1316011562 | WY | NATIONAL PROVIDER IDENTIFIER |
Post Comment/ Review Below
What is the unique identifier code issued to State Of Wyoming by the Centers for Medicare & Medicaid Services (CMS)?
The State Of Wyoming has been assigned the NPI (National Provider Identifier) 1316011562. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where State Of Wyoming is physically located?
The State Of Wyoming is physically situated at the following address: 831 State Highway 150 S, Evanston, WY, 829305340.
What is State Of Wyoming's specialized field of practice, and what is the corresponding taxonomy classification code?
The State Of Wyoming's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date did the State Of Wyoming receive the assignment of its 1316011562 from the Centers for Medicare & Medicaid Services?
The State Of Wyoming was issued its 1316011562 by the Centers for Medicare & Medicaid Services on 2006-11-20.
As of what date were the State Of Wyoming's details last updated?
The information pertaining to the State Of Wyoming, including its address, specialty, and other details, was most recently updated on 2015-11-12.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL