Dillingham, Mark A

Dillingham, Mark A is an individual health care provider with primary practice located at 950 E Harvard Ave Suite 240, Denver CO 80210-7006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dillingham, Mark A can be contacted via phone (303) 871-0977.

Contact Information

Primary practice address
950 E Harvard Ave Suite 240 Denver CO 80210-7006
Fax: (303) 733-2387
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 23200 Colorado

Profile Details

NPI number 1437142734
LBN Legal business name Dillingham, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jun 20th, 2016 - about 9 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 1437142734 NPPES
Colorado MEDICAID 01232008

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