Bumgarner, John R
Bumgarner, John R is an individual health care provider with primary practice located at 2635 N 7Th St , Grand Junction CO 81501-8209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Bumgarner, John R can be contacted via phone (970) 241-9729.Contact Information
Primary practice address
2635 N 7Th St
Grand Junction CO 81501-8209
Phone: (970) 241-9729
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 33374 | Colorado |
Profile Details
| NPI number | 1104808633 |
|---|---|
| LBN Legal business name | Bumgarner, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Feb 16th, 2010 - about 14 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 | 1104808633 | NPPES |
| Colorado | MEDICAID | 01333749 |
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