NPI 1174127542

John Sindelar, PSS

Practitioner Peer Specialist Gillette, WY

Practice location

Address: 501 S Burma Ave, Gillette, WY 82716-3426
Phone: (307) 688-5000
Fax: (307) 688-5074
Mailing address: 2917 Fitzpatrick CT, Gillette, WY 82718-6249

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence DS-2020-061 (WY)

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Registry record

NPI: 1174127542
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Nov 2020
Record last updated: 25 Nov 2020

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.