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Contact Information

HOLISTIC PAIN MANAGEMENT OF WYOMING, LLC
1001 W MAIN ST
RIVERTON, WY82501-3230
 Phone: 307-271-2332
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for HOLISTIC PAIN MANAGEMENT OF WYOMING, LLC

NPI # 1487295846
LBN Legal business name HOLISTIC PAIN MANAGEMENT OF WYOMING, LLC
Authorized official RYAN SHEDD - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2019
Last updated 10/20/2022 - About 4 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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