Black-Farber, Jeri

Black-Farber, Jeri is an individual health care provider with primary practice located at 1909 Vista Dr , Laramie WY 82070. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Black-Farber, Jeri can be contacted via phone (307) 745-8851.

Contact Information

Primary practice address
1909 Vista Dr Laramie WY 82070
Fax: (307) 742-0961
Website:

Health care specialties

Profile Details

NPI number 1083694483
LBN Legal business name Black-Farber, Jeri
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1083694483 NPPES
Other 311712 BCBS

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