Provider Demographics
NPI:1013140052
Name:OSTERMILLER, CALE LANCE
Entity type:Individual
Prefix:MR
First Name:CALE
Middle Name:LANCE
Last Name:OSTERMILLER
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 1:420 S JONES ST
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:WY
Mailing Address - Zip Code:82435-3132
Mailing Address - Country:US
Mailing Address - Phone:307-754-3421
Mailing Address - Fax:
Practice Address - Street 1:420 S JONES ST
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:WY
Practice Address - Zip Code:82435-3132
Practice Address - Country:US
Practice Address - Phone:307-754-3421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator