Jones, Shadrick Todd

Jones, Shadrick Todd is an individual health care provider with primary practice located at 604 E 25Th St , Cheyenne WY 82001-3133. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Jones, Shadrick Todd can be contacted via phone (307) 637-3953.

Contact Information

Primary practice address
604 E 25Th St Cheyenne WY 82001-3133
Phone: (307) 637-3953
Fax: (307) 638-6805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1467994335
LBN Legal business name Jones, Shadrick Todd
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2016
Last updated Jun 21st, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467994335 NPPES
Wyoming MEDICAID 1467994335

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