Malm, Ronald Lee

Malm, Ronald Lee is an individual health care provider with primary practice located at 820 East 17Th Street , Cheyenne WY 82001-4797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Malm, Ronald Lee can be contacted via phone (307) 632-2434.

Contact Information

Primary practice address
820 East 17Th Street Cheyenne WY 82001-4797
Phone: (307) 632-2434
Fax: (307) 634-9295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5752A Wyoming

Profile Details

NPI number 1457459125
LBN Legal business name Malm, Ronald Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 17th, 2023 - about last year

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 1457459125 NPPES
Wyoming Other 080143307 RR MEDICARE
Wyoming MEDICAID 110737200 RR MEDICARE
Wyoming Other 308136 RR MEDICARE

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