Adams, Michael Dean

Adams, Michael Dean is an individual health care provider with primary practice located at 75 Yellow Creek Rd Suite 102, Evanston WY 82930-5235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Adams, Michael Dean can be contacted via phone (307) 789-8290.

Contact Information

Primary practice address
75 Yellow Creek Rd Suite 102 Evanston WY 82930-5235
Phone: (307) 789-8290
Fax: (307) 789-8975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 181920-8905 Utah
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4371-A Wyoming

Profile Details

NPI number 1922005347
LBN Legal business name Adams, Michael Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 13th, 2019 - about 6 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 1922005347 NPPES
Wyoming Other 53D0977203 CLIA NUMBER
Wyoming Other 0004116106 CLIA NUMBER
Wyoming Other 080014492 CLIA NUMBER
Wyoming MEDICAID 103977600 CLIA NUMBER
Wyoming Other C12604 CLIA NUMBER
Wyoming Other 02902001 CLIA NUMBER

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