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Contact Information

GEORGE BIRKS MD PLLC
1930 E ORMAN AVE
PUEBLO, CO81004-3553
 Phone: 719-565-1900
 Fax: 719-565-1901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GEORGE BIRKS MD PLLC

NPI # 1174580914
LBN Legal business name GEORGE BIRKS MD PLLC
Authorized official GEORGE BIRKS - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2006
Last updated 03/02/2010 - About 16 years ago
Identifiers
CO License # 35413
CO Medicaid 82685029
CO Other 110246700 RAILROAD MEDICARE
CO Other DG5436 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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