Vandervort, Christa J
Vandervort, Christa J is an individual health care provider with primary practice located at 1400 Uinta Dr , Green River WY 82935-5060. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Vandervort, Christa J can be contacted via phone (307) 872-4500.Contact Information
Primary practice address
1400 Uinta Dr
Green River WY 82935-5060
Phone: (307) 872-4500
Fax: (307) 872-4595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP080 | Wyoming |
Profile Details
| NPI number | 1215102132 |
|---|---|
| LBN Legal business name | Vandervort, Christa J |
| Credentials | SP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Apr 23rd, 2008 - about 18 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 | 1215102132 | NPPES |
| Wyoming | Other | 080042349 | RAILROAD MEDICARE PIN |
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