Deherrera, Orlando R

Deherrera, Orlando R is an individual health care provider with primary practice located at 103 Chico Ct , Monte Vista CO 81144-1065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deherrera, Orlando R can be contacted via phone (719) 852-9400.

Contact Information

Primary practice address
103 Chico Ct Monte Vista CO 81144-1065
Fax: (719) 852-9311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L1830 Texas

Profile Details

NPI number 1548323348
LBN Legal business name Deherrera, Orlando R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated May 5th, 2021 - 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 1548323348 NPPES
Texas Other 8U8523 BCBS
Texas Other P00200133 BCBS
Texas Other 8K5235 BCBS

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