Hayden, Jonathan

Hayden, Jonathan is an individual health care provider with primary practice located at 501 S Burma Ave , Gillette WY 82716-3426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Hayden, Jonathan can be contacted via phone (307) 688-1415.

Contact Information

Primary practice address
501 S Burma Ave Gillette WY 82716-3426
Phone: (307) 688-1415
Fax: (307) 688-1420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 8305 Montana
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 6008A Wisconsin

Profile Details

NPI number 1841242807
LBN Legal business name Hayden, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 11th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841242807 NPPES
Wyoming MEDICAID 113133800

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