Siiteri, Eric H
Siiteri, Eric H is an individual health care provider with primary practice located at 111 S Jefferson St , Casper WY 82601-2665. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Siiteri, Eric H can be contacted via phone (970) 495-0707.Contact Information
Primary practice address
111 S Jefferson St
Casper WY 82601-2665
Phone: (970) 495-0707
Fax: (970) 495-6885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1816 | Colorado |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 278 | Wyoming |
Profile Details
| NPI number | 1235108994 |
|---|---|
| LBN Legal business name | Siiteri, Eric H |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Apr 29th, 2016 - about 10 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 | 1235108994 | NPPES |
| Wyoming | MEDICAID | 118233101 |
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