Jackson Hole Obgyn Pc

LBN: Jackson Hole Obgyn Pc
Jackson Hole Obgyn Pc is an health care organization with primary practice located at 555 E Broadway Ste 201, Jackson WY 83001. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Other Service Providers / Midwife is the primary health care specialty. Jackson Hole Obgyn Pc can be contacted via phone (307) 733-8537, or through Brecheen, Roger Malcom via phone (307) 733-8537.

Contact Information

Primary practice address
555 E Broadway Ste 201 Jackson WY 83001
Phone: (307) 733-8537
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brecheen, Roger Malcom MD FACOG
Phone: (307) 733-8537

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1841364882
LBN Legal business name Jackson Hole Obgyn Pc
DBA Doing business as
Authorized official Brecheen, Roger Malcom MD FACOG
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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