Sjostrom, Rebecca Ashley
Sjostrom, Rebecca Ashley is an individual health care provider with primary practice located at 555 E Broadway Ave Ste 211 , Jackson WY 83001-8640. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Sjostrom, Rebecca Ashley can be contacted via phone (307) 699-6801.Contact Information
Primary practice address
555 E Broadway Ave Ste 211
Jackson WY 83001-8640
Phone: (307) 699-6801
Fax: (307) 733-6912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 8081 | Alaska |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 48707 | Colorado |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 13178A | Wyoming |
Profile Details
| NPI number | 1760654651 |
|---|---|
| LBN Legal business name | Sjostrom, Rebecca Ashley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2008 |
| Last updated | Apr 29th, 2024 - about 7 months 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 | 1760654651 | NPPES |
| Colorado | Other | 48707 | COLORADO MEDICAL LICENSE |
| Colorado | Other | 8081 | COLORADO MEDICAL LICENSE |
| Colorado | Other | 13178A | COLORADO MEDICAL LICENSE |
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