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Contact Information

CENTRAL WYOMING SKIN CLINIC PC
2546 E 2ND ST STE 400
CASPER, WY82609-2062
 Phone: 307-234-0003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for CENTRAL WYOMING SKIN CLINIC PC · (Female)

NPI # 1588851547
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2007
Last updated 07/08/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY Medicaid 114196100
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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