Dexter D Koons Md Pc
LBN: Dexter D Koons Md Pc
Dexter D Koons Md Pc is an health care organization with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Dexter D Koons Md Pc can be contacted via phone (719) 320-3515, or through Koons, Dexter D via phone (719) 296-6872.
Contact Information
Primary practice address
400 W 16Th St
Pueblo CO 81003-2745
Phone: (719) 320-3515
Fax: (719) 543-1309
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X |
Profile Details
NPI number | 1336102086 |
---|---|
LBN Legal business name | Dexter D Koons Md Pc |
DBA Doing business as | |
Authorized official | Koons, Dexter D Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 11th, 2006 |
Last updated | Nov 10th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336102086 | NPPES |
Colorado | MEDICAID | 04013876 |
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