Childers, Alonzo

Childers, Alonzo is an individual health care provider with primary practice located at 3820 N Grant Ave , Loveland CO 80538-8412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Childers, Alonzo can be contacted via phone (970) 593-1177.

Contact Information

Primary practice address
3820 N Grant Ave Loveland CO 80538-8412
Fax: (970) 593-0470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 21678 Colorado

Profile Details

NPI number 1033182811
LBN Legal business name Childers, Alonzo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1033182811 NPPES
Colorado MEDICAID 01216787

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