Budensiek, Richard Lee

Budensiek, Richard Lee is an individual health care provider with primary practice located at 5623 West 19Th Street , Greeley CO 80634-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Budensiek, Richard Lee can be contacted via phone (970) 353-9011.

Contact Information

Primary practice address
5623 West 19Th Street Greeley CO 80634-2901
Fax: (970) 353-9135
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32150 Colorado

Profile Details

NPI number 1518962448
LBN Legal business name Budensiek, Richard Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 31st, 2011 - about 13 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 1518962448 NPPES
Colorado MEDICAID 01321504

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