Smith, Sara Nicole
Smith, Sara Nicole is an sole proprietor health care provider with primary practice located at 1603 Capitol Ave Suite 510, Cheyenne WY 82001-4569. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Smith, Sara Nicole can be contacted via phone (307) 635-2888.Contact Information
Primary practice address
1603 Capitol Ave Suite 510
Cheyenne WY 82001-4569
Phone: (307) 635-2888
Fax: (307) 635-2888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 132080700 | Wyoming |
Profile Details
| NPI number | 1013254598 |
|---|---|
| LBN Legal business name | Smith, Sara Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2013 |
| Last updated | Jan 3rd, 2013 - about 13 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 | 1013254598 | NPPES |
| Wyoming | MEDICAID | 132080700 |
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