National Provider Identifier Database

BANNER MEDICAL GROUP GREELEY LLC
Multi-Specialty


Contact Information

BANNER MEDICAL GROUP GREELEY LLC
2010 16TH ST
GREELEY, CO80631-5162
Phone: 970-350-5660
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for BANNER MEDICAL GROUP GREELEY LLC

NPI Number 1972804318
Legal business name
LBN
BANNER MEDICAL GROUP GREELEY LLC
Authorized official DENNIS DAHLEN - (SR VP FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 11/16/2010
Last updated 11/16/2010 - About 16 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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