Bowling, Nina Richardson
Bowling, Nina Richardson is an individual health care provider with primary practice located at 5015 W 120Th Ave , Broomfield CO 80020-5606. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bowling, Nina Richardson can be contacted via phone (303) 466-2935.Contact Information
Primary practice address
5015 W 120Th Ave
Broomfield CO 80020-5606
Phone: (303) 466-2935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 104995 | Colorado |
Profile Details
| NPI number | 1497789390 |
|---|---|
| LBN Legal business name | Bowling, Nina Richardson |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 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 | 1497789390 | NPPES |
| Colorado | MEDICAID | 02049955 | |
| Colorado | MEDICAID | 04013264 |
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