Deaver, David C

Deaver, David C is an individual health care provider with primary practice located at 1 Mercado St Suite 220, Durango CO 81301-7300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Deaver, David C can be contacted via phone (970) 247-4448.

Contact Information

Primary practice address
1 Mercado St Suite 220 Durango CO 81301-7300
Phone: (970) 247-4448
Fax: (970) 382-6607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25883 Colorado

Profile Details

NPI number 1699795690
LBN Legal business name Deaver, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 10th, 2008 - about 17 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 1699795690 NPPES
Colorado MEDICAID 01258839

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