White Line Llc

NPI 1548656242 - Ambulance - 3416L0300X

NPI Details
NPI 1548656242
Enumeration Date 04/09/2015
Last Updated 06/13/2016
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CLAYTON CLAYTON
Position OWNER
Phone (307) 568-2041
Fax (307) 568-2727
Practice Location
419 W C STREET
BASIN WY, 82410, US
Phone (307) 568-2041
Fax (307) 568-2727
Business Location
PO BOX 530
BASIN WY, 82410-0530, US
Phone (307) 568-2041
Fax (307) 568-2727
Toxanomy
Taxonomy Code 3416L0300X
License State Wyoming
License Number 006
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According to our database, White Line Llc NPI is 1548656242, taxonomy code is 3416L0300X and license number is 006, license state is located at Wyoming. White Line Llc physically located at 419 W C Street, Basin WY, 82410. NPI Number 1033115704 has the healthcare provider type.

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1548656242 NPI number is provided on an as is basis without warranty of any kind. 1548656242 is maintained by the National Plan & Provider Enumeration System. The contents of White Line Llc are for informational purposes only.