PAULJORDANWASHBURNMD LLC. NPI 1114452166

NPI Information

NPI: 1114452166
Provider Name: PAULJORDANWASHBURNMD, LLC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5720 OSAGE AVE
3-301
CHEYENNE, WY
ZIP 82009
Phone: (970) 518-9394
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PAULJORDANWASHBURNMD, LLC. is a multi-specialty clinic center in Cheyenne, WY. PAULJORDANWASHBURNMD, LLC. NPI is 1114452166. The provider is registered as an organization entity type.

The provider's business location address is:

5720 OSAGE AVE
3-301
CHEYENNE, WY
ZIP 82009-948
Phone: (970) 518-9394

The provider's authorized official is Paul Jordan Washburn .
The authorized official title is Own, Physician and has the following contact phone number (970) 518-9394.

The enumeration date for this NPI number is 4/27/2017 and was last updated on 4/27/2017.

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	261QM1300X	Clinic/Center	Multi-Specialty	10738A	WYOMING	Yes

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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