Bakanauskas, Egle Asta

Bakanauskas, Egle Asta is an individual health care provider with primary practice located at 1455 Main St Suite 100, Windsor CO 80550-5559. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bakanauskas, Egle Asta can be contacted via phone (970) 686-3950.

Contact Information

Primary practice address
1455 Main St Suite 100 Windsor CO 80550-5559
Fax: (970) 686-3960
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39763 Colorado

Profile Details

NPI number 1902950223
LBN Legal business name Bakanauskas, Egle Asta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 19th, 2015 - about 9 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 1902950223 NPPES
Colorado MEDICAID 56907311
Colorado Other P00877649

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