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Contact Information

SUE BLAYRE WHITE, MS, LAT, NCACII, DOT
1623 CENTRAL AVE
CHEYENNE, WY82001
 Phone: 307-275-0423
 Fax: 307-432-4038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for SUE BLAYRE WHITE · (Female)

NPI # 1063829976
Status Active
Credentials MS, LAT, NCACII, DOT
Entity Individual
Enumeration date 07/14/2014
Last updated 07/14/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # LAT-346
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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