Blair, William Brent
Blair, William Brent is an sole proprietor health care provider with primary practice located at 1347 S Wisconsin Ave , Casper WY 82609-2936. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Blair, William Brent can be contacted via phone (307) 234-3047.Contact Information
Primary practice address
1347 S Wisconsin Ave
Casper WY 82609-2936
Phone: (307) 234-3047
Fax: (307) 234-3897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1114187572 |
|---|---|
| LBN Legal business name | Blair, William Brent |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2008 |
| Last updated | Jun 24th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114187572 | NPPES |
| Wyoming | MEDICAID | 119089001 |
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