Trujillo, Breanna
Trujillo, Breanna is an sole proprietor health care provider with primary practice located at 905 N Gurley Ave , Gillette WY 82716-2109. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Trujillo, Breanna can be contacted via phone (307) 686-0669.Contact Information
Primary practice address
905 N Gurley Ave
Gillette WY 82716-2109
Phone: (307) 686-0669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X |
Profile Details
| NPI number | 1215470695 |
|---|---|
| LBN Legal business name | Trujillo, Breanna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2016 |
| Last updated | Dec 2nd, 2016 - about 8 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 | 1215470695 | NPPES |
| Wyoming | MEDICAID | 830230126 |
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