Central Wyoming Skin Clinic Pc

LBN: Central Wyoming Skin Clinic Pc
Central Wyoming Skin Clinic Pc is an health care organization with primary practice located at 2546 E 2Nd St Ste 400 , Casper WY 82609-2062. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Central Wyoming Skin Clinic Pc can be contacted via phone (307) 234-0003, or through Bennion, Scott D via phone (307) 234-0003.

Contact Information

Primary practice address
2546 E 2Nd St Ste 400 Casper WY 82609-2062
Phone: (307) 234-0003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bennion, Scott D
Phone: (307) 234-0003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1588851547
LBN Legal business name Central Wyoming Skin Clinic Pc
DBA Doing business as
Authorized official Bennion, Scott D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2007
Last updated Jul 8th, 2010 - about 16 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 1588851547 NPPES
Wyoming MEDICAID 114196100

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