Custom Orthopedics Of Wyo. Llc

LBN: Custom Orthopedics Of Wyo. Llc
Custom Orthopedics Of Wyo. Llc is an health care organization with primary practice located at 240 W 9Th St , Casper WY 82601-3708. The organization recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as the primary health care specialty. Custom Orthopedics Of Wyo. Llc can be contacted via phone (307) 237-3688, or through Jackson, Nancy O via phone (307) 237-3688.

Contact Information

Primary practice address
240 W 9Th St Casper WY 82601-3708
Phone: (307) 237-3688
Fax: (307) 237-3696
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Nancy O
Phone: (307) 237-3688

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1013952670
LBN Legal business name Custom Orthopedics Of Wyo. Llc
DBA Doing business as
Authorized official Jackson, Nancy O
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1013952670 NPPES
Nebraska MEDICAID 10025302700

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