Demoruelle, Mary Kristen
Demoruelle, Mary Kristen is an individual health care provider with primary practice located at 1400 Jackson St , Denver CO 80206-2761. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Demoruelle, Mary Kristen can be contacted via phone (303) 388-4461.Contact Information
Primary practice address
1400 Jackson St
Denver CO 80206-2761
Phone: (303) 388-4461
Fax: (303) 270-2174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48030 | Colorado |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 48030 | Colorado |
Profile Details
| NPI number | 1992900575 |
|---|---|
| LBN Legal business name | Demoruelle, Mary Kristen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Apr 11th, 2016 - about 9 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 | 1992900575 | NPPES |
| Colorado | MEDICAID | 06785212 |
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