Search › Wyoming › 183500000X
Jason Bischoff
NPI 1164772174 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1005 W Coulter Ave
Powell, WY 82435 - Phone
- (307) 754-2755
- Organisation at this address
- Albertsons Llc
Shopko Stores Operating Co LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming