Coburn, David A
Coburn, David A is an individual health care provider with primary practice located at 1501 E 3Rd St , Delta CO 81416-2815. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Coburn, David A can be contacted via phone (970) 874-2417.Contact Information
Primary practice address
1501 E 3Rd St
Delta CO 81416-2815
Phone: (970) 874-2417
Fax: (970) 874-6491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17871 | Colorado |
Profile Details
| NPI number | 1487674875 |
|---|---|
| LBN Legal business name | Coburn, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 30th, 2021 - about 4 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 | 1487674875 | NPPES |
| Colorado | MEDICAID | 01348416 |
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