Conyers, David J

Conyers, David J is an individual health care provider with primary practice located at 4740 Pearl Pkwy Ste 200 , Boulder CO 80301-3080. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Conyers, David J can be contacted via phone (303) 449-2730.

Contact Information

Primary practice address
4740 Pearl Pkwy Ste 200 Boulder CO 80301-3080
Fax: (303) 449-5821
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 26818 Colorado

Profile Details

NPI number 1780648378
LBN Legal business name Conyers, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 21st, 2022 - about 3 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 1780648378 NPPES
Colorado MEDICAID 1268184
Colorado Other 400000514

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