Infectious Disease Specialist Of Southern Colorado, Pllc

LBN: Infectious Disease Specialist Of Southern Colorado, Pllc
Infectious Disease Specialist Of Southern Colorado, Pllc is an health care organization with primary practice located at 2001 Lake Ave Suite 2, Pueblo CO 81004-3538. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Infectious Disease Specialist Of Southern Colorado, Pllc can be contacted via phone (719) 582-8425, or through Nwanguma, Victor via phone (719) 582-8425.

Contact Information

Primary practice address
2001 Lake Ave Suite 2 Pueblo CO 81004-3538
Fax: (888) 719-1380
Website:
Authorized official contact:
Name: Nwanguma, Victor Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X DR51262 Colorado

Profile Details

NPI number 1922351279
LBN Legal business name Infectious Disease Specialist Of Southern Colorado, Pllc
DBA Doing business as
Authorized official Nwanguma, Victor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2012
Last updated Jan 29th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922351279 NPPES
Other 1336601387 NPI

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