Underwood, David
Underwood, David is an individual health care provider with primary practice located at 1565 Hwy 150 S. Ste. C , Evanston WY 82930-8752. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Underwood, David can be contacted via phone (307) 789-4224.Contact Information
Primary practice address
1565 Hwy 150 S. Ste. C
Evanston WY 82930-8752
Phone: (307) 789-4224
Fax: (307) 789-4225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | ||
Other Service Providers / Community Health Worker | 172V00000X | Wyoming |
Profile Details
NPI number | 1194011551 |
---|---|
LBN Legal business name | Underwood, David |
Credentials | PEER SPECIALIST |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2011 |
Last updated | Feb 6th, 2013 - about 12 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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