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Contact Information

TEN MILE HEALTH & WELLNESS LLC
114 VILLAGE PLACE
ST 207
DILLON, CO80435
 Phone: 970-455-9004
 Fax: 949-577-4247
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for TEN MILE HEALTH WELLNESS LLC · (Female)

NPI Number 1417538281
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2021
Last updated 04/14/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Medicaid 9000169353
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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