Vipperman, John R
Vipperman, John R is an individual health care provider with primary practice located at 3030 Big Horn Ave , Cody WY 82414-9208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Vipperman, John R can be contacted via phone (307) 578-1955.Contact Information
Primary practice address
3030 Big Horn Ave
Cody WY 82414-9208
Phone: (307) 578-1955
Fax: (307) 578-1979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 306 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 207 | Wyoming |
Profile Details
| NPI number | 1992787980 |
|---|---|
| LBN Legal business name | Vipperman, John R |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jan 30th, 2020 - about 5 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 | 1992787980 | NPPES |
| Montana | Other | 810511516021 | EBMS |
| Montana | MEDICAID | 117477100 | EBMS |
| Montana | Other | 3110550 | EBMS |
| Montana | MEDICAID | 0439535 | EBMS |
| Montana | Other | 000094353 | EBMS |
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