Deboer, Laurence William Vale

Deboer, Laurence William Vale is an individual health care provider with primary practice located at 430 Medical Arts Ct. , Gillette WY 82716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Deboer, Laurence William Vale can be contacted via phone (307) 682-7661.

Contact Information

Primary practice address
430 Medical Arts Ct. Gillette WY 82716
Phone: (307) 682-7661
Fax: (307) 682-7624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5853A Wyoming
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E0878 Texas

Profile Details

NPI number 1043315872
LBN Legal business name Deboer, Laurence William Vale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 7th, 2023 - about 2 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 1043315872 NPPES
Other 638 MEDICAL LICENSE
Other 53D925429 MEDICAL LICENSE
Other 303946 MEDICAL LICENSE
Other 5853A MEDICAL LICENSE
Other 00783001 MEDICAL LICENSE
MEDICAID 7088727 MEDICAL LICENSE
MEDICAID 8380925 MEDICAL LICENSE

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