Musgrove, Tom
Musgrove, Tom is an individual health care provider with primary practice located at 401 S 23Rd St , Worland WY 82401. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Musgrove, Tom can be contacted via phone (307) 347-6165.Contact Information
Primary practice address
401 S 23Rd St
Worland WY 82401
Phone: (307) 347-6165
Fax: (307) 347-6166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1114218500 |
|---|---|
| LBN Legal business name | Musgrove, Tom |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2011 |
| Last updated | Feb 10th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114218500 | NPPES |
| Wyoming | MEDICAID | 106352903 | |
| Wyoming | MEDICAID | 106352907 | |
| Wyoming | MEDICAID | 106352908 | |
| Wyoming | MEDICAID | 106352900 |
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