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Contact Information

COREY L ERNST, PA C
2003 BLUEGRASS CIRCLE
CHEYENNE, WY82009
 Phone: 307-634-4357
 Fax: 307-634-7773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for COREY L ERNST · (Male)

NPI Number 1083697064
Status Active
Credentials PA C
Entity Individual
Enumeration date 11/23/2005
Last updated 10/02/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 187
  • WY Medicaid 116713800
  • WY Other 314332 BLUE CROSS BLUE SHIELD
  • WY Other 187 STATE LICENSE
  • WY Other 41CLE01 SUBSTANCE CONTROL
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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