National Provider Identifier Database

BIG THOMPSON MEDICAL GROUP INC
Multi-Specialty


Contact Information

BIG THOMPSON MEDICAL GROUP INC.
2010 16TH ST
STE C
GREELEY, CO80631-5162
Phone: 970-350-5660
Fax: 970-350-5669
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for BIG THOMPSON MEDICAL GROUP INC.

NPI Number 1073802971
Legal business name
LBN
BIG THOMPSON MEDICAL GROUP INC.
Authorized official DENNIS DAHLEN - (SR VP FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 03/31/2011
Last updated 05/06/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 85372781

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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