NPI 1831871250 · live from the CMS NPI Registry
Hole Ortho LLC
Orthopaedic Surgery in Jackson, WY. National Provider Identifier 1831871250, active.
NPI record
| NPI | 1831871250 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 555 E Broadway Ave Ste 211, Jackson, WY 83001 |
| Practice phone | 307-699-6801 |
| Mailing address | 970 W Broadway Ste E121, Jackson, WY 83001 |
| Enumerated | August 4, 2023 |
| Last updated | April 29, 2024 |
| Authorized official | Rebecca Sjostrom, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.