Ernst, Corey Lynn
Ernst, Corey Lynn is an individual health care provider with primary practice located at 2003 Bluegrass Circle , Cheyenne WY 82009. 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. Ernst, Corey Lynn can be contacted via phone (307) 634-4357.Contact Information
Primary practice address
2003 Bluegrass Circle
Cheyenne WY 82009
Phone: (307) 634-4357
Fax: (307) 634-7773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 187 | Wyoming |
Profile Details
| NPI number | 1083697064 |
|---|---|
| LBN Legal business name | Ernst, Corey Lynn |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Oct 2nd, 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 | 1083697064 | NPPES |
| Wyoming | Other | 314332 | BLUE CROSS BLUE SHIELD |
| Wyoming | MEDICAID | 116713800 | BLUE CROSS BLUE SHIELD |
| Wyoming | Other | 187 | BLUE CROSS BLUE SHIELD |
| Wyoming | Other | 41CLE01 | BLUE CROSS BLUE SHIELD |
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