Wymore, Pamela J
Wymore, Pamela J is an individual health care provider with primary practice located at 166 4Th Street E , St. Paul MN 55101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Wymore, Pamela J can be contacted via phone (651) 292-2000.Contact Information
Primary practice address
166 4Th Street E
St. Paul MN 55101
Phone: (651) 292-2000
Fax: (651) 292-2136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 37571 | Minnesota |
Profile Details
| NPI number | 1760429138 |
|---|---|
| LBN Legal business name | Wymore, Pamela J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1760429138 | NPPES |
| Minnesota | Other | P00201776 | RAILROAD MEDICARE MN |
| Minnesota | Other | 1030863 | RAILROAD MEDICARE MN |
| Minnesota | Other | 1603279 | RAILROAD MEDICARE MN |
| Minnesota | MEDICAID | 089807400 | RAILROAD MEDICARE MN |
| Minnesota | Other | 502T0WY | RAILROAD MEDICARE MN |
| Minnesota | Other | 2182694 | RAILROAD MEDICARE MN |
| Minnesota | Other | 502T1WY | RAILROAD MEDICARE MN |
| Minnesota | MEDICAID | 34234600 | RAILROAD MEDICARE MN |
| Minnesota | Other | HP43094 | RAILROAD MEDICARE MN |
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