Wake, Ronald Steven

Wake, Ronald Steven is an individual health care provider with primary practice located at 206 S 7Th St , Worland WY 82401-3308. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Wake, Ronald Steven can be contacted via phone (307) 347-6165.

Contact Information

Primary practice address
206 S 7Th St Worland WY 82401-3308
Phone: (307) 347-6165
Fax: (307) 347-6166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1629369004
LBN Legal business name Wake, Ronald Steven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2011
Last updated Apr 20th, 2011 - about 13 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 1629369004 NPPES
Wyoming MEDICAID 106352903
Wyoming MEDICAID 106352900

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