Swedberg, Jay A

Swedberg, Jay A is an individual health care provider with primary practice located at 6500 E 2Nd St Suite 200, Casper WY 82609-4338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Swedberg, Jay A can be contacted via phone (307) 577-5100.

Contact Information

Primary practice address
6500 E 2Nd St Suite 200 Casper WY 82609-4338
Phone: (307) 577-5100
Fax: (307) 234-1201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3305A Wyoming
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19719 Colorado

Profile Details

NPI number 1467450163
LBN Legal business name Swedberg, Jay A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 11th, 2008 - about 16 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 1467450163 NPPES
Wyoming MEDICAID 104351000
Wyoming Other 314127
Wyoming Other 611665900

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