Provider Demographics
NPI:1376326108
Name:WYOMING SCIENCES LLC
Entity Type:Organization
Organization Name:WYOMING SCIENCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-309-2769
Mailing Address - Street 1:1607 CAPITOL AVE STE 422
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4525
Mailing Address - Country:US
Mailing Address - Phone:303-309-2769
Mailing Address - Fax:
Practice Address - Street 1:1607 CAPITOL AVE STE 422
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4525
Practice Address - Country:US
Practice Address - Phone:303-309-2769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care