Gronseth, Cliff
Gronseth, Cliff is an individual health care provider with primary practice located at 5387 Manhattan Cir Suite 200, Boulder CO 80303-4284. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gronseth, Cliff can be contacted via phone (303) 494-7773.Contact Information
Primary practice address
5387 Manhattan Cir Suite 200
Boulder CO 80303-4284
Phone: (303) 494-7773
Fax: (303) 494-1104
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 35231 | Colorado |
Profile Details
NPI number | 1811983802 |
---|---|
LBN Legal business name | Gronseth, Cliff |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2005 |
Last updated | May 4th, 2017 - about 8 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 | 1811983802 | NPPES |
Colorado | MEDICAID | 01352319 |
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