Roman, Eric G
Roman, Eric G is an individual health care provider with primary practice located at 831 Highway 150 S , Evanston WY 82930-5340. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Roman, Eric G can be contacted via phone (307) 789-3464.Contact Information
Primary practice address
831 Highway 150 S
Evanston WY 82930-5340
Phone: (307) 789-3464
Fax: (307) 789-7373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 25318.1148 | Wyoming |
Profile Details
| NPI number | 1700157948 |
|---|---|
| LBN Legal business name | Roman, Eric G |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2012 |
| Last updated | Mar 13th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700157948 | NPPES |
| Wyoming | Other | 25318.1148 | LICENSE |
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