Organization · NPI-2

Bade LLC

Family Medicine · Cheyenne, WY

NPI number1073454062
StatusActive
Last updated in NPPESApr 3, 2026

Details

NPI
1073454062
Entity type
Organization (NPI-2)
Legal business name
Bade LLC
Organization subpart
No
Enumeration date
Apr 3, 2026
Certification date
Apr 2, 2026
Last updated
Apr 3, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Mind & Body Family Health (Doing Business As)

Practice location

502 E 19th St
Cheyenne, WY 82001-4646

Phone 307-374-8271 · Fax 307-216-8774

Mailing address

502 E 19th St
Cheyenne, WY 82001-4646

Phone 307-374-8271 · Fax 307-216-8774

Authorized official

Megan Bade
Owner
3073748271

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