Provider Demographics
NPI:1124473376
Name:NUMBER 34
Entity type:Organization
Organization Name:NUMBER 34
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTIVITIES COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEGLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-532-0134
Mailing Address - Street 1:2802 W C ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:WY
Mailing Address - Zip Code:82240-1834
Mailing Address - Country:US
Mailing Address - Phone:307-532-0134
Mailing Address - Fax:
Practice Address - Street 1:2802 W C ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240-1834
Practice Address - Country:US
Practice Address - Phone:307-532-0134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management