National Provider Identifier Database

CHEYENNE MEDICAL SPECIALISTS PC
Body Imaging

A Radiology doctor of Osteopathy that specializes in Body Imaging.


Contact Information

CHEYENNE MEDICAL SPECIALISTS PC
5050 POWDERHOUSE RD
CHEYENNE, WY82009
Phone: 307-772-8226
Fax: 307-634-1271
Website:
Specialty Taxonomy Code
* Body Imaging 2085B0100X
Clinical Medical Laboratory 291U00000X

* Indicates primary specialty

NPI Profile & details for CHEYENNE MEDICAL SPECIALISTS PC

NPI Number 1356325278
Legal business name
LBN
CHEYENNE MEDICAL SPECIALISTS PC
Authorized official ROBERT MONGER - (PARTNER OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/05/2005
Last updated 12/28/2007 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 1095 BLUE CROSS BLUE SHIELD
  • Other: 5300519664 CLIA

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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