JACK BANNON

Case Manager/Care Coordinator

Active Individual
NPI: 1174331300

Practice Address

2526 SEYMOUR AVE
Cheyenne, WY 82001

Phone: (307) 634-9653

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1174331300 is the National Provider Identifier for JACK BANNON, a Case Manager/Care Coordinator provider located in Cheyenne, WY. This NPI was enumerated on December 19, 2024.
JACK BANNON practices at 2526 SEYMOUR AVE, Cheyenne, WY 82001.

Quick Facts

NPI
1174331300
Type
Individual
Enumerated
Dec 19, 2024
Last Updated
Jan 6, 2025

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