Blust, Linda S
Blust, Linda S is an individual health care provider with primary practice located at 10900 W 44Th Ave Ste 200, Wheat Ridge CO 80033-2761. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Blust, Linda S can be contacted via phone (303) 379-9371.Contact Information
Primary practice address
10900 W 44Th Ave Ste 200
Wheat Ridge CO 80033-2761
Phone: (303) 379-9371
Fax: (303) 284-4082
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0054925 | Colorado |
Profile Details
NPI number | 1073568622 |
---|---|
LBN Legal business name | Blust, Linda S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Sep 18th, 2019 - about 5 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 | 1073568622 | NPPES |
Colorado | MEDICAID | 46184864 | |
Colorado | Other | 414354YN6C |
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