Cabrera, Jed
Cabrera, Jed is an individual health care provider with primary practice located at 820 East 17Th Street , Cheyenne WY 82001-4797. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cabrera, Jed can be contacted via phone (307) 632-2434.Contact Information
Primary practice address
820 East 17Th Street
Cheyenne WY 82001-4797
Phone: (307) 632-2434
Fax: (307) 634-9295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 375 | Wyoming |
Profile Details
| NPI number | 1962500611 |
|---|---|
| LBN Legal business name | Cabrera, Jed |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1962500611 | NPPES |
| Wyoming | Other | 24512 | WINHEALTH |
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