Brumbaugh, Dave R
Brumbaugh, Dave R 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 Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brumbaugh, Dave R 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 388 | Wyoming |
Profile Details
| NPI number | 1114907722 |
|---|---|
| LBN Legal business name | Brumbaugh, Dave R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114907722 | NPPES |
| South Dakota | MEDICAID | 6826364 |
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