Ketcham, William D

Ketcham, William D is an individual health care provider with primary practice located at 800 E 20Th St Suite 110, Cheyenne WY 82001-3859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ketcham, William D can be contacted via phone (307) 634-7711.

Contact Information

Primary practice address
800 E 20Th St Suite 110 Cheyenne WY 82001-3859
Phone: (307) 634-7711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 6803A Wyoming
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 40972 Colorado

Profile Details

NPI number 1184668857
LBN Legal business name Ketcham, William D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184668857 NPPES
Wyoming Other 311699 BCBS OF WYOMING CRG
Wyoming MEDICAID 22971211 BCBS OF WYOMING CRG
Wyoming Other 311700 BCBS OF WYOMING CRG

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