Ikenberry, Suellen E

Ikenberry, Suellen E is an individual health care provider with primary practice located at 4803 Ward Rd , Wheat Ridge CO 80033-1902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ikenberry, Suellen E can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
4803 Ward Rd Wheat Ridge CO 80033-1902
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 112022 Colorado

Profile Details

NPI number 1770610784
LBN Legal business name Ikenberry, Suellen E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 5th, 2016 - about 9 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 1770610784 NPPES
Colorado MEDICAID 51954028
Colorado Other 014739

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