Jack Henry Bannon
Jack Henry Bannon is a Case Manager/Care Coordinator in Cheyenne, Wyoming. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2526 Seymour AveCheyenne, WY 82001-3159
Phone: (307) 634-9653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1174331300 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 19, 2024 |
| Last updated in NPPES | January 6, 2025 |
| Certification date | January 6, 2025 |
| Mailing address | 2526 Seymour Ave, Cheyenne, WY 82001-3159 |
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