Jeffrey Bell

Individual provider Active NPI Community Health Worker · Laramie, WY

NPI 1003390576 · NPPES record last updated Sep 20, 2018

Key facts

NPI
1003390576
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
4989 N 3Rd St
Laramie, WY 82072-9548
Phone
(307) 745-8997
NPI assigned
Sep 20, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

4989 N 3Rd St
Laramie, WY 82072-9548

Mailing address

4989 N 3Rd St
Laramie, WY 82072-9548
Phone (307) 745-8997

Other providers in Laramie, WY

All providers in Laramie, WY · Community Health Worker in Wyoming

Sources for this page

Verify at the official NPI Registry.