Wortham, Lori J.

Wortham, Lori J. is an individual health care provider with primary practice located at 940 E 3Rd St Ste 215 , Casper WY 82601-3251. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wortham, Lori J. can be contacted via phone (307) 237-5510.

Contact Information

Primary practice address
940 E 3Rd St Ste 215 Casper WY 82601-3251
Phone: (307) 237-5510
Fax: (307) 237-0607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA450 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 399 Wyoming

Profile Details

NPI number 1558378372
LBN Legal business name Wortham, Lori J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Mar 22nd, 2011 - about 15 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 1558378372 NPPES
Idaho MEDICAID 806739400

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