National Provider Identifier Database

BANNER HEALTH PHYSICIANS COLORADO LLC
Multi-Specialty


Contact Information

BANNER HEALTH PHYSICIANS COLORADO LLC
7859 6TH STREET
MAILING PO BOX 574
WELLINGTON, CO80549-0001
Phone: 907-821-3120
Fax: 970-821-3201
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for BANNER HEALTH PHYSICIANS COLORADO LLC

NPI Number 1659882272
Legal business name
LBN
BANNER HEALTH PHYSICIANS COLORADO LLC
Authorized official SHIVA BIRDI - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 10/23/2017
Last updated 04/17/2026 - About 2 months 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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