Kirk, John D

Kirk, John D is an individual health care provider with primary practice located at 3650 E 15Th St , Loveland CO 80538-8701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kirk, John D can be contacted via phone (970) 669-1107.

Contact Information

Primary practice address
3650 E 15Th St Loveland CO 80538-8701
Fax: (970) 669-8849
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28606 Colorado

Profile Details

NPI number 1255336392
LBN Legal business name Kirk, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 21st, 2008 - about 17 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 1255336392 NPPES
Colorado MEDICAID 01286061
Colorado Other 920573020761
Colorado Other 841171475001

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