Bosworth, Cortney Ray

Bosworth, Cortney Ray is an individual health care provider with primary practice located at 3550 Lutheran Pkwy Bldg 10 Suite 200, Wheat Ridge CO 80033-6017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bosworth, Cortney Ray can be contacted via phone (720) 536-2100.

Contact Information

Primary practice address
3550 Lutheran Pkwy Bldg 10 Suite 200 Wheat Ridge CO 80033-6017
Fax: (720) 536-2090
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 46927 Colorado

Profile Details

NPI number 1811043409
LBN Legal business name Bosworth, Cortney Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Nov 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811043409 NPPES
Colorado Other 1811043409 NPI
Colorado MEDICAID 84485779 NPI

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