Roupe, Gordon L

Roupe, Gordon L is an individual health care provider with primary practice located at 401 S 23Rd St , Worland WY 82401-3725. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Roupe, Gordon L can be contacted via phone (307) 347-6165.

Contact Information

Primary practice address
401 S 23Rd St Worland WY 82401-3725
Phone: (307) 347-6165
Fax: (307) 347-6166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CMHW-055 Wyoming

Profile Details

NPI number 1306960638
LBN Legal business name Roupe, Gordon L
Credentials BSW, CMHW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Apr 8th, 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 1306960638 NPPES
Wyoming MEDICAID 106352907
Wyoming MEDICAID 106352908

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