Boughton, Gregg Ellis

Boughton, Gregg Ellis is an individual health care provider with primary practice located at 1909 Vista Dr , Laramie WY 82070-5530. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Boughton, Gregg Ellis can be contacted via phone (307) 745-8851.

Contact Information

Primary practice address
1909 Vista Dr Laramie WY 82070-5530
Phone: (307) 745-8851
Fax: (307) 742-0961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1932171998
LBN Legal business name Boughton, Gregg Ellis
Credentials ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 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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