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Contact Information

ANDREA CHISHOLM, MD
424 YELLOWSTONE AVE STE 330
CODY, WY82414
 Phone: 307-578-2770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ANDREA CHISHOLM · (Female)

NPI # 1265571046
Status Active
Credentials MD
Entity Individual
Enumeration date 02/06/2007
Last updated 10/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 155750
  • WY License # 11313A
Hospital affiliation(s)
  • WEST PARK HOSPITAL DISTRICT - (Critical Access)
    707 SHERIDAN AVENUE
    CODY, WY 82414
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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