Kochevar, Casey Lee

Kochevar, Casey Lee is an sole proprietor health care provider with primary practice located at 1446 Hover Street Suite #100, Longmont CO 80501. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Kochevar, Casey Lee can be contacted via phone (303) 684-9777.

Contact Information

Primary practice address
1446 Hover Street Suite #100 Longmont CO 80501
Phone: (303) 684-9777
Fax: (720) 306-3517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 8471 Colorado
Dental Providers / General Practice 1223G0001X 8471CO Colorado
Dental Providers / General Practice 1223G0001X 8471 Colorado

Profile Details

NPI number 1558360073
LBN Legal business name Kochevar, Casey Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Aug 31st, 2012 - about 13 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 1558360073 NPPES
Colorado MEDICAID 78271045
Colorado MEDICAID 96800241

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