Bidonde Family Practice, Llc

LBN: Bidonde Family Practice, Llc
Bidonde Family Practice, Llc is an health care organization with primary practice located at 107 W Hesse St , Buffalo WY 82834-1501. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Bidonde Family Practice, Llc can be contacted via phone (307) 684-1444, or through Ham, Sandra K via phone (307) 684-1444.

Contact Information

Primary practice address
107 W Hesse St Buffalo WY 82834-1501
Fax: (307) 684-0999
Website:
Authorized official contact:
Name: Ham, Sandra K FNP-C

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23899-0963 Wyoming

Profile Details

NPI number 1366719718
LBN Legal business name Bidonde Family Practice, Llc
DBA Doing business as
Authorized official Ham, Sandra K FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2011
Last updated Nov 29th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366719718 NPPES
Wyoming MEDICAID 126725600

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