Conyers, Julie A
Conyers, Julie A is an sole proprietor health care provider with primary practice located at 16222 W Us Highway 24 Ste 210 , Woodland Park CO 80863-8763. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Conyers, Julie A can be contacted via phone (719) 364-6487.Contact Information
Primary practice address
16222 W Us Highway 24 Ste 210
Woodland Park CO 80863-8763
Phone: (719) 364-6487
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M8325 | Idaho |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G89174 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DR.0030500 | Colorado |
Profile Details
| NPI number | 1205888732 |
|---|---|
| LBN Legal business name | Conyers, Julie A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Mar 10th, 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 | 1205888732 | NPPES |
| California | MEDICAID | 00G891740 | |
| California | MEDICAID | 806114900 |
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