National Provider Identifier Database

RIVERTON ONCOLOGY PRACTICELLC
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

RIVERTON ONCOLOGY PRACTICE,LLC
1035 ROSE LN
STE D
RIVERTON, WY82501-2286
Phone: 307-856-4688
Fax: 307-856-1740
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for RIVERTON ONCOLOGY PRACTICE,LLC

NPI Number 1104065200
Legal business name
LBN
RIVERTON ONCOLOGY PRACTICE,LLC
Authorized official DONALD BIVACCA - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 02/12/2009
Last updated 02/12/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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