Pullos, Take George
Pullos, Take George is an individual health care provider with primary practice located at 5201 Yellowstone Rd , Cheyenne WY 82009-4741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pullos, Take George can be contacted via phone (307) 632-1114.Contact Information
Primary practice address
5201 Yellowstone Rd
Cheyenne WY 82009-4741
Phone: (307) 632-1114
Fax: (307) 632-9920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A73020 | Wyoming |
Profile Details
| NPI number | 1831284900 |
|---|---|
| LBN Legal business name | Pullos, Take George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Oct 28th, 2022 - about 2 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 | 1831284900 | NPPES |
| Wyoming | MEDICAID | 100097800 | |
| Wyoming | MEDICAID | 1831284900 |
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