Fall, David Robert
Fall, David Robert is an sole proprietor health care provider with primary practice located at 1308 W 4Th St , Gillette WY 82716-3330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Fall, David Robert can be contacted via phone (307) 687-1300.Contact Information
Primary practice address
1308 W 4Th St
Gillette WY 82716-3330
Phone: (307) 687-1300
Fax: (307) 682-1309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 3687A | Wyoming |
Profile Details
| NPI number | 1578676490 |
|---|---|
| LBN Legal business name | Fall, David Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 9th, 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 | 1578676490 | NPPES |
| Wyoming | Other | 302314 | BCBS PROVIDER NUMBER |
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