Geller, Ivan Benjamin

Geller, Ivan Benjamin is an individual health care provider with primary practice located at 3885 Upham St 100, Wheat Ridge CO 80033-4880. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Geller, Ivan Benjamin can be contacted via phone (303) 742-0108.

Contact Information

Primary practice address
3885 Upham St 100 Wheat Ridge CO 80033-4880
Phone: (303) 742-0108
Fax: (303) 742-0690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25075 Colorado
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 25075 Colorado

Profile Details

NPI number 1003923194
LBN Legal business name Geller, Ivan Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Oct 16th, 2012 - about 13 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 1003923194 NPPES
Colorado Other CU0583 RRW MEDICARE
Colorado MEDICAID 01250752 RRW MEDICARE

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