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Contact Information

5280 IOM PRO, LLC
1700 BASSETT ST UNIT 1021
DENVER, CO80202-1921
 Phone: 346-221-1597
 Fax: 832-581-4677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for 5280 IOM PRO LLC · (Female)

NPI Number 1144779380
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2016
Last updated 09/29/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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