Dezoeten, Edwin F.

Dezoeten, Edwin F. is an individual health care provider with primary practice located at 13123 East 16Th Avenue The Children'S Hospital, Aurora CO 80045-7106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Dezoeten, Edwin F. can be contacted via phone (720) 777-1234.

Contact Information

Primary practice address
13123 East 16Th Avenue The Children'S Hospital Aurora CO 80045-7106
Phone: (720) 777-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD424151 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 49029 Colorado

Profile Details

NPI number 1871701441
LBN Legal business name Dezoeten, Edwin F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Aug 12th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871701441 NPPES
Colorado MEDICAID 30484235

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