Kanchanlal, Vikash
Kanchanlal, Vikash is an individual health care provider with primary practice located at 1315 S Pueblo Blvd #110, Pueblo CO 81005-2191. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kanchanlal, Vikash can be contacted via phone (719) 564-3900.Contact Information
Primary practice address
1315 S Pueblo Blvd #110
Pueblo CO 81005-2191
Phone: (719) 564-3900
Fax: (719) 564-3901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8392 | Colorado |
Profile Details
| NPI number | 1811995178 |
|---|---|
| LBN Legal business name | Kanchanlal, Vikash |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jun 11th, 2008 - about 16 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 | 1811995178 | NPPES |
| Colorado | MEDICAID | 48900753 |
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