National Provider Identifier Database

S48WY4 LLC
Rehabilitation, Substance Use Disorder


Contact Information

S48WY4, LLC
606 23RD ST
RAWLINS, WY82301-5127
Phone: 307-342-8820
Fax: 307-333-0261
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Clinical 1041C0700X
Community Health Worker 172V00000X
Counselor 101Y00000X
Nurse Practitioner 363L00000X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for S48WY4, LLC

NPI Number 1770088130
Legal business name
LBN
S48WY4, LLC
Authorized official LYNN THOMPSON - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 03/28/2018
Last updated 09/12/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • WY Medicaid: 149784700

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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