Powell, Jeanne

Powell, Jeanne is an individual health care provider with primary practice located at 407West Loucks St , Sheridan WY 82801. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Powell, Jeanne can be contacted via phone (307) 763-3039.

Contact Information

Primary practice address
407West Loucks St Sheridan WY 82801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1346846813
LBN Legal business name Powell, Jeanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2020
Last updated Dec 9th, 2020 - about 6 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 1346846813 NPPES
Wyoming MEDICAID 154755100
Wyoming MEDICAID 123456789

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