Centennial Neurology, Pllc

LBN: Centennial Neurology, Pllc
Centennial Neurology, Pllc is an health care organization with primary practice located at 7251 W 20Th St Unit C , Greeley CO 80634-4626. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Centennial Neurology, Pllc can be contacted via phone (970) 356-3876, or through Ewing, David L via phone (970) 356-3876.

Contact Information

Primary practice address
7251 W 20Th St Unit C Greeley CO 80634-4626
Phone: (970) 356-3876
Fax: (970) 353-8810
Website:
Map and Directions
Authorized official contact:
Name: Ewing, David L Doctor of Medicine (MD)
Phone: (970) 356-3876

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X Colorado

Profile Details

NPI number 1205940871
LBN Legal business name Centennial Neurology, Pllc
DBA Doing business as
Authorized official Ewing, David L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Apr 13th, 2011 - about 15 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 1205940871 NPPES
Colorado MEDICAID 72735538

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