National Provider Identifier Database

PEDIATRIC ASSOCIATES PROF LLC
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

PEDIATRIC ASSOCIATES PROF LLC
910 S 4TH ST
MONTROSE, CO81401-4226
Phone: 970-249-2421
Fax: 970-249-1203
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC ASSOCIATES PROF LLC

NPI Number 1033614334
Legal business name
LBN
PEDIATRIC ASSOCIATES PROF LLC
Authorized official AMBER HICKERT - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 03/28/2018
Last updated 03/28/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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