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Contact Information

TETON SURGICAL ASSIST SERVICES LLC
1200 MELODY CREEK LN
JACKSON, WY83001-8982
 Phone: 307-413-6424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for TETON SURGICAL ASSIST SERVICES LLC · (Female)

NPI Number 1003349465
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2017
Last updated 04/04/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 29304
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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