| Jacqueline D Adler, MD, LLC | |
|
1333 W 5th St Suite 201 Sheridan WY 82801-2751 | |
| (307) 674-0700 | |
| Not Available |
| Full Name | Jacqueline D Adler, MD, LLC |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1333 W 5th St, Sheridan, Wyoming |
| Authorized Official Name and Position | Jacqueline D Adler (SOLE PROPRIETOR) |
| Authorized Official Contact | 3076740700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline D Adler, MD, LLC Po Box 6046 Sheridan WY 82801-1446 Ph: (307) 674-0700 | Jacqueline D Adler, MD, LLC 1333 W 5th St Suite 201 Sheridan WY 82801-2751 Ph: (307) 674-0700 |
| NPI Number | 1538213491 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538213491 | NPI | - | NPPES |
| 121742900 | Medicaid | WY | |
| 313871 | Other | WY | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 7081A (Wyoming) | Primary |
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