Antelope Medical Consultants Llc

LBN: Antelope Medical Consultants Llc
Antelope Medical Consultants Llc is an health care organization with primary practice located at 430 S Medical Arts Ct , Gillette WY 82716-3364. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Antelope Medical Consultants Llc can be contacted via phone (307) 682-7661, or through Malody, Lisa Anne via phone (307) 682-7661.

Contact Information

Primary practice address
430 S Medical Arts Ct Gillette WY 82716-3364
Phone: (307) 682-7661
Fax: (307) 682-5074
Website:
Map and Directions
Authorized official contact:
Name: Malody, Lisa Anne Doctor of Medicine (MD)
Phone: (307) 682-7661

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5806A Wyoming
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5853A Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18882.269 Wyoming

Profile Details

NPI number 1124188545
LBN Legal business name Antelope Medical Consultants Llc
DBA Doing business as
Authorized official Malody, Lisa Anne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124188545 NPPES
Washington MEDICAID 7088727
Washington Other 00783001

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