NILS C WESTFALL, MD, Child & Adolescent Psychiatry JACKSON, WY

Contact Information

NILS C WESTFALL, MD

555 E BROADWAY AVE STE 204
JACKSON, WY 83001-8640

Phone: 307-739-4818
Fax: 307-739-4866
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Child & Adolescent Psychiatry	2084P0804X	86	Physician/Neuropsychiatry

Indicates primary specialty

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NPI Profile & details for NILS C WESTFALL · (Male)

NPI #	`1992047682`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	03/21/2013
Last updated	02/19/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	WY License # 13186A WY Medicaid 156592300
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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