FRONTIER ORTHOPEDIC SERVICES, PC; NPI #1629089792

Contact Information

FRONTIER ORTHOPEDIC SERVICES, PC

611 E. CARLSON STREET
SUITE 115
CHEYENNE, WY 82009-4311

Phone: 307-637-3131
Fax: 307-637-4405
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prosthetic/Orthotic Supplier	335E00000X	51	Medical Supply Company with Orthotist

Indicates primary specialty

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NPI Profile & details for FRONTIER ORTHOPEDIC SERVICES, PC

NPI # 1629089792

LBN Legal business name FRONTIER ORTHOPEDIC SERVICES, PC

Authorized official JAMES JACKSON - (OWNER/PRACTITIONER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/11/2006

Last updated 04/04/2012 - About 14 years ago

Identifiers

WY	License #	C12686
WY	Medicaid	119925100
WY	Other	306400	BC/BS

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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FRONTIER ORTHOPEDIC SERVICES, PC

Contact Information

Specialty

Prosthetic/Orthotic Supplier

NPI Profile & details for FRONTIER ORTHOPEDIC SERVICES, PC

Reviews for FRONTIER ORTHOPEDIC SERVICES, PC