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Contact Information

JILL BAYOUTH
1925 MOUNTAIN VIEW AVE
LONGMONT, CO80501-3128
 Phone: 303-776-1234
 Fax: 720-494-3107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietetic Technician, Registered

136A00000X
Indicates primary specialty

NPI Profile & details for JILL BAYOUTH · (Female)

NPI # 1992180939
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2015
Last updated 08/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 1072108
  • CO License # 21420304
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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