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Contact Information

THOMAS H NIETHAMMER, MD, PC
1333 W 5TH ST
STE 206
SHERIDAN, WY82801
 Phone: 307-673-8383
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THOMAS H NIETHAMMER, MD, PC

NPI # 1518994961
LBN Legal business name THOMAS H NIETHAMMER, MD, PC
Authorized official THOMAS NIETHAMMER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2006
Last updated 11/12/2008 - About 18 years ago
Identifiers
WY License # 3508A
WY Medicaid 122049700
WY Other 02545001 BLUE CROSS
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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