Dextradeur, Todd C
Dextradeur, Todd C is an individual health care provider with primary practice located at 51 W 84Th Ave Ste 300, Thornton CO 80260-4883. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dextradeur, Todd C can be contacted via phone (303) 777-8333.Contact Information
Primary practice address
51 W 84Th Ave Ste 300
Thornton CO 80260-4883
Phone: (303) 777-8333
Fax: (303) 777-8338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0035500 | Colorado |
Profile Details
| NPI number | 1801845532 |
|---|---|
| LBN Legal business name | Dextradeur, Todd C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Oct 2nd, 2020 - about 5 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 | 1801845532 | NPPES |
| Colorado | MEDICAID | 01355007 | |
| Colorado | Other | 35500 |
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