Prentice, Robert R

Prentice, Robert R is an individual health care provider with primary practice located at 2301 House Ave Suite 405, Cheyenne WY 82001-3176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Prentice, Robert R can be contacted via phone (307) 635-7961.

Contact Information

Primary practice address
2301 House Ave Suite 405 Cheyenne WY 82001-3176
Phone: (307) 635-7961
Fax: (307) 778-5812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2320A Wyoming

Profile Details

NPI number 1508880170
LBN Legal business name Prentice, Robert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Aug 30th, 2012 - about 13 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 1508880170 NPPES
Wyoming MEDICAID 1508880170
Wyoming MEDICAID 101727600
Wyoming Other 301550

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