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Contact Information

MOUNTAIN RHEUMATOLOGY LLC
4500 E 9TH AVE
NO 500 S
DENVER, CO80220-3900
 Phone: 303-861-2190
 Fax: 303-355-4435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MOUNTAIN RHEUMATOLOGY LLC · (Female)

NPI # 1790703239
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2006
Last updated 04/25/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO Medicaid 84253347
  • KS Medicaid 200365030A
  • KS Medicaid 200365030B
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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