National Provider Identifier Database

FRONTIER WYOMING LLC
Hospice Care, Community Based


Contact Information

FRONTIER WYOMING, LLC
514 E PERSHING AVE
SUITE C
RIVERTON, WY82501-3618
Phone: 307-856-4127
Fax: 307-856-4129
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for FRONTIER WYOMING, LLC

NPI Number 1669796884
Legal business name
LBN
FRONTIER WYOMING, LLC
Authorized official MARTHA BOGUCKI - (CFO)
Entity Organization
Organization subpart No
Enumeration date 03/17/2010
Last updated 09/12/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 10306
  • WY Medicaid: 1669796884

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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