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WILLIAM BRENT BLAIR NPI 1114187572


NPI Information

NPI: 1114187572
Provider Name: WILLIAM BRENT BLAIR
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Individual
Address:
1347 S WISCONSIN AVE
CASPER, WY
ZIP 82609
Phone: (307) 234-3047
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William Brent Blair is a durable medical equipment medical supplies in Casper, WY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. William Brent Blair NPI is 1114187572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1347 S WISCONSIN AVE
CASPER, WY
ZIP 82609-936
Phone: (307) 234-3047
Fax: (307) 234-3897

The enumeration date for this NPI number is 6/10/2008 and was last updated on 6/24/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1119089001MEDICAIDWYOMING
24991260001MEDICARE NSCWYOMING

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

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