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Contact Information

THOMAS H NIETHAMMER, MD, PC
1333 W 5TH ST
STE 206
SHERIDAN, WY82801
 Phone: 307-673-8383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THOMAS H NIETHAMMER MD PC · (Female)

NPI # 1518994961
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2006
Last updated 11/12/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 3508A
  • WY Medicaid 122049700
  • WY Other 02545001 BLUE CROSS
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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