Fornengo, Jaco

Fornengo, Jaco is an individual health care provider with primary practice located at 845 N Federal Blvd , Riverton WY 82501-2961. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fornengo, Jaco can be contacted via phone (307) 857-6023.

Contact Information

Primary practice address
845 N Federal Blvd Riverton WY 82501-2961
Phone: (307) 857-6023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 4101 Wyoming

Profile Details

NPI number 1477023513
LBN Legal business name Fornengo, Jaco
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2018
Last updated Dec 2nd, 2018 - about 8 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.

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