Podrazik, Eugene P

Podrazik, Eugene P is an individual health care provider with primary practice located at 2210 King Blvd. , Casper WY 82604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Podrazik, Eugene P can be contacted via phone (307) 577-4242.

Contact Information

Primary practice address
2210 King Blvd. Casper WY 82604
Phone: (307) 577-4242
Fax: (307) 577-0012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 6478A Wyoming

Profile Details

NPI number 1265418834
LBN Legal business name Podrazik, Eugene P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jun 26th, 2014 - about 11 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 1265418834 NPPES
Other 310642 BLUE CROSS BLUE SHIELD
Other 040015424 BLUE CROSS BLUE SHIELD
MEDICAID 115763900 BLUE CROSS BLUE SHIELD

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