Yetka, Robyn Carroll

Yetka, Robyn Carroll is an sole proprietor health care provider with primary practice located at 714 W Fox Farm Rd , Cheyenne WY 82007-2360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Yetka, Robyn Carroll can be contacted via phone (130) 777-8783.

Contact Information

Primary practice address
714 W Fox Farm Rd Cheyenne WY 82007-2360
Phone: (130) 777-8783
Fax: (130) 777-8257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 118 Wyoming

Profile Details

NPI number 1407015308
LBN Legal business name Yetka, Robyn Carroll
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2008
Last updated Mar 7th, 2023 - about 3 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 1407015308 NPPES
Wyoming Other 54RCY07M WYOMING CONTROLLED SUBSTANCE
Wyoming Other 118 WYOMING CONTROLLED SUBSTANCE

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