Detty, Shannon Quirk
Detty, Shannon Quirk is an individual health care provider with primary practice located at 2880 Folsom St Ste 200 , Boulder CO 80304-3769. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Detty, Shannon Quirk can be contacted via phone (303) 442-6647.Contact Information
Primary practice address
2880 Folsom St Ste 200
Boulder CO 80304-3769
Phone: (303) 442-6647
Fax: (303) 442-2696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 6600-851 | Wisconsin |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 70147 | Wisconsin |
Profile Details
| NPI number | 1790149763 |
|---|---|
| LBN Legal business name | Detty, Shannon Quirk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2016 |
| Last updated | Oct 7th, 2022 - about 2 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.
Popular Providers
-
Hale, Jamie
5365 Spine Rd Suite C, Boulder CO 80301-3324 -
Flaten, Hanna K
905 Alpine Ave , Boulder CO 80304-3305 -
Scatena, Lisa H
2400 Spruce St Ste 101, Boulder CO 80302-4617 -
Hong, Steven R
2750 Broadway St , Boulder CO 80304-3573 -
Russell, George R
1000 Alpine Ave #50, Boulder CO 80304-3409 -
Greenlee, Max Russell
870 Juniper Ave , Boulder CO 80304-1724 -
Fix, William Crane
1840 Folsom St Ste 100 , Boulder CO 80302-5712 -
Kallgren, Diane Lucy
3434 47Th St #200, Boulder CO 80301-1880