Blyth, Bruce
Blyth, Bruce is an individual health care provider with primary practice located at 1601 E 19Th Ave Suite 3750, Denver CO 80218-1216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Blyth, Bruce can be contacted via phone (303) 839-7200.Contact Information
Primary practice address
1601 E 19Th Ave Suite 3750
Denver CO 80218-1216
Phone: (303) 839-7200
Fax: (303) 839-7229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 31504 | Colorado |
Profile Details
| NPI number | 1174587265 |
|---|---|
| LBN Legal business name | Blyth, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1174587265 | NPPES |
| Colorado | MEDICAID | 01315043 |
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