Igo, Robert Malcolm

Igo, Robert Malcolm is an individual health care provider with primary practice located at 1304 N Academy Boulevard Suite 205, Colorado Springs CO 80909-3318. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Igo, Robert Malcolm can be contacted via phone (719) 596-8440.

Contact Information

Primary practice address
1304 N Academy Boulevard Suite 205 Colorado Springs CO 80909-3318
Phone: (719) 596-8440
Fax: (719) 572-8934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7181 Colorado

Profile Details

NPI number 1952447724
LBN Legal business name Igo, Robert Malcolm
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 18 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 1952447724 NPPES
Colorado MEDICAID 28251857

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