National Provider Identifier Database

BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Multi-Specialty


Contact Information

BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
2400 EDISON ST
BRUSH, CO80723-1640
Phone: 970-842-6200
Fax: 970-842-6290
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC

NPI Number 1275871204
Legal business name
LBN
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Authorized official SHIVA BIRDI - (BMG CEO)
Entity Organization
Organization subpart Yes
Enumeration date 01/25/2013
Last updated 04/20/2023 - About 3 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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