Bannon, Jillian

Bannon, Jillian is an individual health care provider with primary practice located at 10350 E Dakota Ave , Denver CO 80247-1314. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bannon, Jillian can be contacted via phone (303) 338-3800.

Contact Information

Primary practice address
10350 E Dakota Ave Denver CO 80247-1314
Phone: (303) 338-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1476 Colorado

Profile Details

NPI number 1184940439
LBN Legal business name Bannon, Jillian
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2010
Last updated Sep 7th, 2010 - about 16 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 1184940439 NPPES
Colorado Other 021040 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 97935727 KAISER COMMERCIAL NUMBER

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