Provider Demographics
NPI:1902197429
Name:ALLEY, CLAUDE JOSEPH
Entity type:Individual
Prefix:MR
First Name:CLAUDE
Middle Name:JOSEPH
Last Name:ALLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-2205
Mailing Address - Country:US
Mailing Address - Phone:307-763-3763
Mailing Address - Fax:307-673-1565
Practice Address - Street 1:1037 W 12TH ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-2205
Practice Address - Country:US
Practice Address - Phone:307-763-3763
Practice Address - Fax:307-673-1565
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator