Ideen, Dana Ray
Ideen, Dana Ray is an sole proprietor health care provider with primary practice located at 1315 E A St , Casper WY 82601-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ideen, Dana Ray can be contacted via phone (307) 235-8552.Contact Information
Primary practice address
1315 E A St
Casper WY 82601-2212
Phone: (307) 235-8552
Fax: (307) 235-4656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3742A | Wyoming |
Profile Details
| NPI number | 1558375477 |
|---|---|
| LBN Legal business name | Ideen, Dana Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 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 | 1558375477 | NPPES |
| Wyoming | MEDICAID | 104037500 |
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