Bjerke, Randal Dean
Bjerke, Randal Dean is an individual health care provider with primary practice located at 1155 Alpine Ave Suite 150, Boulder CO 80304-3495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Bjerke, Randal Dean can be contacted via phone (303) 444-2150.Contact Information
Primary practice address
1155 Alpine Ave Suite 150
Boulder CO 80304-3495
Phone: (303) 444-2150
Fax: (303) 442-3363
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | DR.0020554 | Colorado |
Profile Details
NPI number | 1629088414 |
---|---|
LBN Legal business name | Bjerke, Randal Dean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 8th, 2006 |
Last updated | Apr 11th, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629088414 | NPPES |
Colorado | MEDICAID | 01205541 |
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