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Contact Information

ENRICO J VERSACE, MD
310 COUNTY ROAD 14
RIO GRANDE HOSPITAL
DEL NORTE, CO81132-8719
 Phone: 719-657-4102
 Fax: 719-657-4106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ENRICO J VERSACE · (Male)

NPI # 1699740480
Status Active
Credentials MD
Entity Individual
Enumeration date 02/23/2006
Last updated 03/27/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 0053518
  • MT License # 11019
  • WA License # 60167506
  • CO Medicaid 47105348
  • CO Other 53518 CO LICENSE
Hospital affiliation(s)
  • ONSLOW MEMORIAL HOSPITAL - (Acute Care)
    317 WESTERN BOULEVARD
    JACKSONVILLE, NC 28540
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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