National Provider Identifier Database

WOMENS CLINIC OF NORTHEASTERN WYOMING PC
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.


Contact Information

WOMENS CLINIC OF NORTHEASTERN WYOMING PC
212 W BURKITT ST
SHERIDAN, WY82801-4206
Phone: 307-672-0401
Fax: 307-672-0317
Website:
Specialty Taxonomy Code
* Obstetrics & Gynecology 207V00000X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for WOMENS CLINIC OF NORTHEASTERN WYOMING PC

NPI Number 1982775508
Legal business name
LBN
WOMENS CLINIC OF NORTHEASTERN WYOMING PC
Authorized official TIMOTHY SCOTT - (PRESIDENT OF PC)
Entity Organization
Organization subpart No
Enumeration date 11/13/2006
Last updated 10/10/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 13730119
  • WY License #: 2719A
  • WY Medicaid: 107189100

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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