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
Fax: (303) 494-1104
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811983802 NPPES
Colorado MEDICAID 01352319

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