Tichenor, Rowan E
Tichenor, Rowan E is an sole proprietor health care provider with primary practice located at 1119 E 3Rd St , Casper WY 82601-2905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Tichenor, Rowan E can be contacted via phone (307) 266-2772.Contact Information
Primary practice address
1119 E 3Rd St
Casper WY 82601-2905
Phone: (307) 266-2772
Fax: (307) 266-2076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2634A | Wyoming |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 2634A | Wyoming |
Profile Details
| NPI number | 1093713067 |
|---|---|
| LBN Legal business name | Tichenor, Rowan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jul 29th, 2014 - about 12 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 | 1093713067 | NPPES |
| Other | 070011534 | RR MEDICARE | |
| MEDICAID | 106641200 | RR MEDICARE |
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