SAGEBRUSH E.N.T. INC. NPI 1528261161

NPI Information

NPI: 1528261161
Provider Name: SAGEBRUSH E.N.T., INC.
Classification: Otolaryngology - 207YX0602X
Entity Type: Organization

Specialization: Otolaryngic Allergy

Address:
1405 W 4TH ST
GILLETTE, WY
ZIP 82716
Phone: (307) 685-1442
Get Directions

SAGEBRUSH E.N.T., INC. is an otolaryngic allergy otolaryngology in Gillette, WY. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. SAGEBRUSH E.N.T., INC. NPI is 1528261161. The provider is registered as an organization entity type.

The provider's business location address is:

1405 W 4TH ST
GILLETTE, WY
ZIP 82716-327
Phone: (307) 685-1442

The provider's authorized official is Sigsbee Walter Duck .
The authorized official title is President and has the following contact phone number (307) 685-1442.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 1/28/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332S00000X	Hearing Aid Equipment				No
2	207YX0602X	Otolaryngology	Otolaryngic Allergy	5649A	WYOMING	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	308154	MEDICARE ID-TYPE UNSPECIFIED	WYOMING
2	11403101	MEDICAID	WYOMING
3	15228261161	OTHER	WYOMING	NPI
4	W21454	MEDICARE PIN	WYOMING
5	C71195	MEDICARE UPIN	WYOMING

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: 4/28/2024

NPI Synchronization or Removal

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