Ilvonen, Roger Paul
Ilvonen, Roger Paul is an sole proprietor health care provider with primary practice located at 2337 S Youngfield Way , Lakewood CO 80228-4970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ilvonen, Roger Paul can be contacted via phone (303) 986-2827.Contact Information
Primary practice address
2337 S Youngfield Way
Lakewood CO 80228-4970
Phone: (303) 986-2827
Fax: (303) 986-5720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 18649 | Colorado |
Profile Details
| NPI number | 1770726101 |
|---|---|
| LBN Legal business name | Ilvonen, Roger Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2009 |
| Last updated | Apr 15th, 2009 - about 15 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 | 1770726101 | NPPES |
| Colorado | MEDICAID | 1186493 |
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