Boulder Valley Asthma & Allergy Clinics, Pc

LBN: Boulder Valley Asthma & Allergy Clinics, Pc
Boulder Valley Asthma & Allergy Clinics, Pc is an health care organization with primary practice located at 3950 Broadway St , Boulder CO 80304-1104. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Boulder Valley Asthma & Allergy Clinics, Pc can be contacted via phone (303) 234-1067, or through Menich, Mark David via phone (303) 234-1067.

Contact Information

Primary practice address
3950 Broadway St Boulder CO 80304-1104
Phone: (303) 234-1067
Fax: (303) 232-2967
Website:
Map and Directions
Authorized official contact:
Name: Menich, Mark David Doctor of Medicine (MD)
Phone: (303) 234-1067

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Colorado

Profile Details

NPI number 1952522997
LBN Legal business name Boulder Valley Asthma & Allergy Clinics, Pc
DBA Doing business as
Authorized official Menich, Mark David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Jun 10th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952522997 NPPES
Colorado MEDICAID 04006102

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