Mayer, Thomas Otto

Mayer, Thomas Otto is an individual health care provider with primary practice located at 1050 Mydland Rd , Sheridan WY 82801-2186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mayer, Thomas Otto can be contacted via phone (307) 673-6300.

Contact Information

Primary practice address
1050 Mydland Rd Sheridan WY 82801-2186
Phone: (307) 673-6300
Fax: (307) 673-6303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 6950A Wyoming

Profile Details

NPI number 1104813930
LBN Legal business name Mayer, Thomas Otto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
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 1104813930 NPPES
Wyoming Other 05696001 BCBS CLINIC NUMBER
Wyoming Other 313252 BCBS CLINIC NUMBER
Wyoming MEDICAID 119441100 BCBS CLINIC NUMBER
Wyoming Other 148019300 BCBS CLINIC NUMBER
Wyoming MEDICAID 120469600 BCBS CLINIC NUMBER

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