Wortham, Ross C
Wortham, Ross C is an individual health care provider with primary practice located at 400 E Adams Ave , Riverton WY 82501-4413. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wortham, Ross C can be contacted via phone (307) 856-6531.Contact Information
Primary practice address
400 E Adams Ave
Riverton WY 82501-4413
Phone: (307) 856-6531
Fax: (307) 856-1306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T197 | Wyoming |
Profile Details
| NPI number | 1821072042 |
|---|---|
| LBN Legal business name | Wortham, Ross C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jan 9th, 2015 - about 11 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 | 1821072042 | NPPES |
| Wyoming | MEDICAID | 102280600 |
Popular Providers
-
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Ballard, Brian J
300 N Broadway Ave , Riverton WY 82501-3545 -
Smothers-Champley, Debra
900 W Springfield Rd , Taylorville IL 62568-1213 -
Walton, Derek Alan
400 E Adams Ave , Riverton WY 82501-4413 -
Frazier, Christopher C
300 N Broadway Ave , Riverton WY 82501-3545 -
Sude, Jerome
3510 Manchester Rd , Coventry Township OH 44319-1415 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235