Wanbaugh, Michael S

Wanbaugh, Michael S is an individual health care provider with primary practice located at 4070 Plaza Dr Ste 107 , Casper WY 82604-4296. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wanbaugh, Michael S can be contacted via phone (307) 472-8871.

Contact Information

Primary practice address
4070 Plaza Dr Ste 107 Casper WY 82604-4296
Phone: (307) 472-8871
Fax: (307) 235-6262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-506 Wyoming

Profile Details

NPI number 1508868100
LBN Legal business name Wanbaugh, Michael S
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Nov 13th, 2023 - about 2 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 1508868100 NPPES
Wyoming MEDICAID 120359200
Wyoming Other P00208956
Wyoming Other 313189

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