ABC PEDIATRICS LLC; NPI #1508063991

Contact Information

ABC PEDIATRICS LLC

1300 W 4TH ST
GILLETTE, WY 82716-3339

Phone: 307-686-4900
Fax: 307-682-3466
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for ABC PEDIATRICS LLC

NPI Number 1508063991

LBN Legal business name ABC PEDIATRICS LLC

Authorized official LINDA ABUJABER AMMARI - (DOCTOR OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/28/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

5966A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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