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Contact Information

A WYOMING PAIN CLINIC P C
3100 W LAKEWAY RD
SUITE 3
GILLETTE, WY82718-6372
 Phone: 307-696-1475
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain

261QP3300X
Indicates primary specialty

NPI Profile & details for A WYOMING PAIN CLINIC P C · (Female)

NPI Number 1164804480
Status Active
Credentials
Entity Individual
Enumeration date 06/23/2015
Last updated 01/23/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 7144A
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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