Headley, David L
Headley, David L is an individual health care provider with primary practice located at 2312 N Nevada Ave Ste 400 , Colorado Springs CO 80907-5320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Headley, David L can be contacted via phone (719) 577-2555.Contact Information
Primary practice address
2312 N Nevada Ave Ste 400
Colorado Springs CO 80907-5320
Phone: (719) 577-2555
Fax: (719) 577-2553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 23965 | Colorado |
Profile Details
| NPI number | 1881682128 |
|---|---|
| LBN Legal business name | Headley, David L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Apr 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881682128 | NPPES |
| Colorado | MEDICAID | 01239656 |
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