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Contact Information

BOULDER BIOLOGICS, LLC
4745 ARAPAHOE AVE STE 300
BOULDER, CO80303-1292
 Phone: 720-550-6175
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BOULDER BIOLOGICS, LLC

NPI # 1477039907
LBN Legal business name BOULDER BIOLOGICS, LLC
Authorized official JASON GLOWNEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2018
Last updated 05/28/2020 - About 6 years ago
Identifiers
CO License # 47816
CO Other 1922264175 INDIVIDUAL NPI NUMBER FOR JASON GLOWNEY
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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