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Contact Information

BIG HORN FOOT CLINIC PC
777 AVENUE H
POWELL, WY82435-2260
 Phone: 307-754-9191
 Fax: 307-954-1291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BIG HORN FOOT CLINIC PC · (Female)

NPI Number 1245365154
Status Active
Credentials
Entity Individual
Enumeration date 02/22/2007
Last updated 09/16/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 139
  • WY Medicaid 113976200
  • WY Medicaid 133719000
  • Other 1922241181 DR. BEACHLER'S NPI
  • WY Other 307844 BLUE CROSS BLUE SHIELD #
  • WY Other 1114923463 NPI# D. HUGH FRASER DPM
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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