National Provider Identifier Database

BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Multi-Specialty


Contact Information

BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
4700 LADY MOON DR
FORT COLLINS, CO80528-4426
Phone: 970-229-4500
Fax: 970-229-4501
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC

NPI Number 1386034122
Legal business name
LBN
BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Authorized official SHIVA BIRDI - (BMG CEO)
Entity Organization
Organization subpart Yes
Enumeration date 02/02/2015
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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