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WYOMING NEUROLOGIC ASSOCIATES LLC NPI 1740371145


NPI Information

NPI: 1740371145
Provider Name: WYOMING NEUROLOGIC ASSOCIATES LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1020 E 2ND ST
STE 100
CASPER, WY
ZIP 82601
Phone: (307) 265-4343
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WYOMING NEUROLOGIC ASSOCIATES LLC is a neurology psychiatry neurology in Casper, 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. WYOMING NEUROLOGIC ASSOCIATES LLC NPI is 1740371145. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1020 E 2ND ST
STE 100
CASPER, WY
ZIP 82601-946
Phone: (307) 265-4343
Fax: (307) 234-6339

The provider's authorized official is Jo Depaolo .
The authorized official title is Practice Manager and has the following contact phone number (307) 265-4343.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 6/15/2011.


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 & NeurologyNeurology7035AWYOMINGYes

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
1121198600MEDICAIDWYOMING
220241MEDICARE ID-TYPE UNSPECIFIEDWYOMING
3I28304MEDICARE UPIN

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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