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Contact Information

SHANNON C TYSON POLETTI, MD
9485 W COLFAX AVE
LAKEWOOD, CO80215
 Phone: 303-425-0300
 Fax: 303-432-5530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for SHANNON C TYSON POLETTI · (Female)

NPI Number 1588716260
Status Active
Credentials MD
Entity Individual
Enumeration date 01/16/2007
Last updated 06/12/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 36797
Hospital affiliation(s)
  • PRESBYTERIAN/ST LUKE'S MEDICAL CENTER - (Acute Care)
    1719 E 19TH AVE
    DENVER, CO 80218
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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