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Contact Information

DENVER NEUROLOGICAL CLINIC PROFESSIONAL LLC
9980 PARK MEADOWS DR STE 100
LONE TREE, CO80124-8404
 Phone: 303-715-9024
 Fax: 303-715-7057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DENVER NEUROLOGICAL CLINIC PROFESSIONAL LLC · (Female)

NPI # 1578744017
Status Active
Credentials
Entity Individual
Enumeration date 11/26/2007
Last updated 08/31/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 42593
  • CO Medicaid 10733850
  • CO Other P00361949 RAILROAD MEDICARE
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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