National Provider Identifier Database

ABC PEDIATRICS LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

ABC PEDIATRICS LLC
1300 W 4TH ST
GILLETTE, WY82716-3339
Phone: 307-686-4900
Fax: 307-682-3466
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for ABC PEDIATRICS LLC

NPI Number 1841452000
Legal business name
LBN
ABC PEDIATRICS LLC
Authorized official RADONA BORGIALLI - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/30/2008
Last updated 06/30/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 5966A
  • WY Medicaid: 121687200

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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