Provider Demographics
NPI:1881228351
Name:HELLING, JAYLON
Entity Type:Individual
Prefix:
First Name:JAYLON
Middle Name:
Last Name:HELLING
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:PO BOX 2585
Mailing Address - Street 2:
Mailing Address - City:MILLS
Mailing Address - State:WY
Mailing Address - Zip Code:82644-2585
Mailing Address - Country:US
Mailing Address - Phone:307-253-9308
Mailing Address - Fax:307-251-5521
Practice Address - Street 1:3426 CONCHO CT
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-5476
Practice Address - Country:US
Practice Address - Phone:307-253-9308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator