Deric Rachjaibun, Md Llc

LBN: Deric Rachjaibun, Md Llc
Deric Rachjaibun, Md Llc is an health care organization with primary practice located at 1750 Race St , Denver CO 80206-1114. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Deric Rachjaibun, Md Llc can be contacted via phone (303) 355-7414, or through Rachjaibun, Derik via phone (303) 355-7414.

Contact Information

Primary practice address
1750 Race St Denver CO 80206-1114
Phone: (303) 355-7414
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rachjaibun, Derik Doctor of Medicine (MD)
Phone: (303) 355-7414

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41861 Colorado

Profile Details

NPI number 1497949325
LBN Legal business name Deric Rachjaibun, Md Llc
DBA Doing business as
Authorized official Rachjaibun, Derik Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2007
Last updated Nov 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497949325 NPPES
Colorado MEDICAID 16020332

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