Albert, Jon

Albert, Jon is an individual health care provider with primary practice located at 36 Canyon View Rd , Boulder CO 80302-9634. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Albert, Jon can be contacted via phone (303) 530-2190.

Contact Information

Primary practice address
36 Canyon View Rd Boulder CO 80302-9634
Phone: (303) 530-2190
Fax: (303) 530-2190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 19268 Colorado

Profile Details

NPI number 1295273746
LBN Legal business name Albert, Jon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2017
Last updated Feb 4th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295273746 NPPES
Colorado MEDICAID 04141198

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