Corey Lynn Ernst in Cheyenne - Physician Assistant

Corey Lynn Ernst - NPI 1083697064

Corey Lynn Ernst is a Physician Assistant in Cheyenne, . Corey Lynn Ernst practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Corey Lynn Ernst is 1083697064. The last update date is 2007-10-02.

Corey Lynn Ernst's current location address is 2003 Bluegrass Circle, Cheyenne, . You can contact this provider via phone number 3076344357 and fax number 3076347773. The mailing address for Corey Lynn Ernst is 2003 Bluegrass Circle, Cheyenne, . To know further, please read the information below!

Provider Profile Detail

Provider Name Corey Lynn Ernst
Address 2003 Bluegrass Circle, Cheyenne,
Phone Number 3076344357
Fax Number 3076347773
Sole Proprietor N
Credentials PA C

NPI Number Detail

NPI Number 1083697064
Provider Enumeration Date 2005-11-23
Last Updated Date 2007-10-02

Provider Mailing Address Detail

Address 2003 Bluegrass Circle
City Cheyenne
State (WY)
Post Code 82009
Phone Number 3076344357
Fax Number 3076347773

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 187
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
314332 WY BLUE CROSS BLUE SHIELD
116713800 WY --
187 WY STATE LICENSE
41CLE01 WY SUBSTANCE CONTROL

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FAQs about Corey Lynn Ernst

What is the unique identifier code issued to Corey Lynn Ernst by the Centers for Medicare & Medicaid Services?

The Corey Lynn Ernst has been assigned the NPI (National Provider Identifier) 1083697064. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Corey Lynn Ernst is physically located?

The Corey Lynn Ernst is situated at the following address: 2003 Bluegrass Circle, Cheyenne, WY 82009.

Could you please share the complete physical location address where Corey Lynn Ernst's facilities are situated?

The facilities of Corey Lynn Ernst are physically located at the following address: 2003 Bluegrass Circle, Cheyenne, WY, 82009.

On what date was the 1083697064 assigned to Corey Lynn Ernst?

The Corey Lynn Ernst was issued its 1083697064 on 2005-11-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Corey Lynn Ernst, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Corey Lynn Ernst, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-02.

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