IndividualActive
Jacob Ehlert, PA
NPI 1073397113 · Physician Assistant · Casper, WY
Provider details
- NPI number
- 1073397113
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6500 E 2nd St
Casper, WY 82609-4338
Phone: (307) 577-5100
Approximate (ZIP-level) locationGet directions
Mailing address
6500 E 2nd St
Casper, WY 82609-4338
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2023-08-21
- Certified
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.