Sagebrush E.N.T., Inc.
LBN: Sagebrush E.N.T., Inc.
Sagebrush E.N.T., Inc. is an health care organization with primary practice located at 1405 W 4Th St , Gillette WY 82716-3327. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Suppliers / Hearing Aid Equipment. Allopathic & Osteopathic Physicians / Otolaryngic Allergy is the primary health care specialty.
Sagebrush E.N.T., Inc. can be contacted via phone (307) 685-1442, or through Duck, Sigsbee Walter via phone (307) 685-1442.
Contact Information
Primary practice address
1405 W 4Th St
Gillette WY 82716-3327
Phone: (307) 685-1442
Fax:
Website:
Authorized official contact:
Name: Duck, Sigsbee Walter Doctor of Medicine (MD)
Phone: (307) 685-1442
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 5649A | Wyoming |
| Suppliers / Hearing Aid Equipment | 332S00000X |
Profile Details
| NPI number | 1528261161 |
|---|---|
| LBN Legal business name | Sagebrush E.N.T., Inc. |
| DBA Doing business as | |
| Authorized official | Duck, Sigsbee Walter Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Jan 28th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528261161 | NPPES |
| Wyoming | MEDICAID | 11403101 | |
| Wyoming | Other | 15228261161 |
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