Provider Demographics
NPI:1255784310
Name:BELLKINS PAPS, LLC
Entity type:Organization
Organization Name:BELLKINS PAPS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-789-2082
Mailing Address - Street 1:724 FRONT ST
Mailing Address - Street 2:SUITE 525
Mailing Address - City:EVANSTON
Mailing Address - State:WY
Mailing Address - Zip Code:82930-3589
Mailing Address - Country:US
Mailing Address - Phone:307-789-2082
Mailing Address - Fax:307-789-2029
Practice Address - Street 1:305 M ST
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-5330
Practice Address - Country:US
Practice Address - Phone:307-362-6081
Practice Address - Fax:307-362-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies