Avanesyan, Armine

Avanesyan, Armine is an individual health care provider with primary practice located at 311 W 14Th St , Pueblo CO 81003-2710. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Avanesyan, Armine can be contacted via phone (719) 595-7585.

Contact Information

Primary practice address
311 W 14Th St Pueblo CO 81003-2710
Phone: (719) 595-7585
Fax: (719) 595-7589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 56655 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301100114 Michigan

Profile Details

NPI number 1609018159
LBN Legal business name Avanesyan, Armine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2009
Last updated Sep 2nd, 2016 - about 8 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 1609018159 NPPES
Colorado MEDICAID 11957832

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