Iverson, Ronald

Iverson, Ronald is an individual health care provider with primary practice located at 1233 E 2Nd St , Casper WY 82601-2926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Iverson, Ronald can be contacted via phone (307) 333-6910.

Contact Information

Primary practice address
1233 E 2Nd St Casper WY 82601-2926
Phone: (307) 333-6910
Fax: (307) 333-6912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3485A Wyoming

Profile Details

NPI number 1750302634
LBN Legal business name Iverson, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated May 30th, 2019 - about 6 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 1750302634 NPPES
Wyoming Other 307785 BLUE SHIELD
Wyoming Other 305753 BLUE SHIELD
Wyoming Other 82601D018 BLUE SHIELD
Wyoming MEDICAID 104439700 BLUE SHIELD
Wyoming Other 930067310 BLUE SHIELD
Wyoming Other 930013242 BLUE SHIELD

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