Hettiarachchy, Gnanin Joseph
Hettiarachchy, Gnanin Joseph is an individual health care provider with primary practice located at 6001 E Woodmen Rd , Colorado Springs CO 80923-2601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hettiarachchy, Gnanin Joseph can be contacted via phone (719) 776-5000.Contact Information
Primary practice address
6001 E Woodmen Rd
Colorado Springs CO 80923-2601
Phone: (719) 776-5000
Fax: (719) 448-0767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 41119 | Colorado |
Profile Details
| NPI number | 1699743096 |
|---|---|
| LBN Legal business name | Hettiarachchy, Gnanin Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Mar 16th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699743096 | NPPES |
| Colorado | MEDICAID | 69025568 |
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