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FRONTIER NEUROSCIENCES LLC NPI 1124235759


NPI Information

NPI: 1124235759
Provider Name: FRONTIER NEUROSCIENCES, LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1008 13TH ST
SUITE A
CODY, WY
ZIP 82414
Phone: (307) 578-1985
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FRONTIER NEUROSCIENCES, LLC is a neurology psychiatry neurology in Cody, WY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. FRONTIER NEUROSCIENCES, LLC NPI is 1124235759. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1008 13TH ST
SUITE A
CODY, WY
ZIP 82414-677
Phone: (307) 578-1985
Fax: (307) 578-1938

The provider's authorized official is Michelle R Lemmon .
The authorized official title is Office Manager and has the following contact phone number (307) 578-1985.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 9/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology6448AWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G88161MEDICARE UPINWYOMING
2W9867MEDICARE ID-TYPE UNSPECIFIEDWYOMING
3116581000MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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