NPI 1073397113

Jacob Ehlert, PA

Practitioner Physician Assistant Casper, WY

Practice location

Address: 6500 E 2nd St, Casper, WY 82609-4338
Phone: (307) 577-5100

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1073397113
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2023
Record last updated: 21 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.