Boulder Valley Plastic Surgery Inc.
LBN: Boulder Valley Plastic Surgery Inc.
Boulder Valley Plastic Surgery Inc. is an health care organization with primary practice located at 2575 Pearl St. Suite 300, Boulder CO 80302. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty.
Boulder Valley Plastic Surgery Inc. can be contacted via phone (303) 449-6666, or through Swail, Jeffrey T. via phone (303) 449-6666.
Contact Information
Primary practice address
2575 Pearl St. Suite 300
Boulder CO 80302
Phone: (303) 449-6666
Fax: (303) 449-7023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 34276 | Colorado |
Profile Details
| NPI number | 1730261462 |
|---|---|
| LBN Legal business name | Boulder Valley Plastic Surgery Inc. |
| DBA Doing business as | |
| Authorized official | Swail, Jeffrey T. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jul 22nd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730261462 | NPPES |
| Colorado | Other | SW88401 | B/C AND B/S PROVIDER ID |
| Colorado | MEDICAID | 01342765 | B/C AND B/S PROVIDER ID |
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