Meares, Ageselaos John

Meares, Ageselaos John is an individual health care provider with primary practice located at 1760 Prairie Ave Ste 100 , Cheyenne WY 82009-4833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Meares, Ageselaos John can be contacted via phone (307) 263-4022.

Contact Information

Primary practice address
1760 Prairie Ave Ste 100 Cheyenne WY 82009-4833
Phone: (307) 263-4022
Fax: (307) 263-4023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 7059A Wyoming

Profile Details

NPI number 1740264357
LBN Legal business name Meares, Ageselaos John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Nov 11th, 2022 - about 4 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 1740264357 NPPES
Wyoming Other 7059A STATE LICENSE
Wyoming MEDICAID 119972200 STATE LICENSE
Wyoming Other 719AJM04 STATE LICENSE

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