Goen Mockenturm, Valerie K
Goen Mockenturm, Valerie K is an individual health care provider with primary practice located at 5000 Blackmore Rd , Casper WY 82609-3345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Goen Mockenturm, Valerie K can be contacted via phone (307) 233-6000.Contact Information
Primary practice address
5000 Blackmore Rd
Casper WY 82609-3345
Phone: (307) 233-6000
Fax: (307) 473-1284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 253 | Wyoming |
Profile Details
| NPI number | 1851336598 |
|---|---|
| LBN Legal business name | Goen Mockenturm, Valerie K |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jan 8th, 2021 - about 3 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 | 1851336598 | NPPES |
| Wyoming | MEDICAID | 117148800 |
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