Individual Provider

LBN: Individual Provider
Individual Provider is an health care organization with primary practice located at 4159 Lowell Blvd , Denver CO 80211-1658. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Individual Provider can be contacted via phone (303) 458-7220, or through Leto, Alicia D via phone (970) 618-6796.

Contact Information

Primary practice address
4159 Lowell Blvd Denver CO 80211-1658
Phone: (303) 458-7220
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leto, Alicia D Master of Arts (MA)
Phone: (970) 618-6796

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X NLC.0105326 Colorado

Profile Details

NPI number 1821479122
LBN Legal business name Individual Provider
DBA Doing business as
Authorized official Leto, Alicia D Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2015
Last updated Jun 11th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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