Ikelheimer, Douglas Mark

Ikelheimer, Douglas Mark is an individual health care provider with primary practice located at 777 Bannock St Mc 7782, Denver CO 80204-4507. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ikelheimer, Douglas Mark can be contacted via phone (303) 436-6000.

Contact Information

Primary practice address
777 Bannock St Mc 7782 Denver CO 80204-4507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 40353 Colorado
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD453478 Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 0101259575 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 76822 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101259575 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C163816 California
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X MD453478 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101259575 Virginia

Profile Details

NPI number 1508979519
LBN Legal business name Ikelheimer, Douglas Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated May 30th, 2024 - about 6 months 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 1508979519 NPPES
Colorado MEDICAID 05722730

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