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Contact Information

ONLINE DOCTOR OFFICE
30 N GOULD ST STE N
SHERIDAN, WY82801-6317
 Phone: 800-222-9375
 Fax: 740-738-0707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for ONLINE DOCTOR OFFICE

NPI Number 1629731757
LBN Legal business name ONLINE DOCTOR OFFICE
Authorized official TERRY LEWIS - (CIO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2021
Last updated 10/15/2021 - About 5 years ago
Identifiers n/a
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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