Gardner, Jeff Harry Wyatt

Gardner, Jeff Harry Wyatt is an sole proprietor health care provider with primary practice located at 1435 Burton St , Sheridan WY 82801-2723. 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. Gardner, Jeff Harry Wyatt can be contacted via phone (307) 675-5850.

Contact Information

Primary practice address
1435 Burton St Sheridan WY 82801-2723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA896 Wyoming

Profile Details

NPI number 1285258731
LBN Legal business name Gardner, Jeff Harry Wyatt
Credentials PA-C, MPAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2020
Last updated May 24th, 2021 - about 4 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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