Fleming, Grant Robert
Fleming, Grant Robert is an individual health care provider with primary practice located at 1001 West 31St Street , Cheyenne WY 82001. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Fleming, Grant Robert can be contacted via phone (307) 634-6883.Contact Information
Primary practice address
1001 West 31St Street
Cheyenne WY 82001
Phone: (307) 634-6883
Fax: (307) 634-9462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 310 | Wyoming |
Profile Details
| NPI number | 1679633788 |
|---|---|
| LBN Legal business name | Fleming, Grant Robert |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Apr 21st, 2008 - about 16 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 | 1679633788 | NPPES |
| Wyoming | MEDICAID | 115891100 | |
| Wyoming | Other | 115891102 |
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