Kooy, Todd Lane
Kooy, Todd Lane is an individual health care provider with primary practice located at 10800 E Geddes Ave Ste 300 , Englewood CO 80112-3895. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kooy, Todd Lane can be contacted via phone (303) 761-9190.Contact Information
Primary practice address
10800 E Geddes Ave Ste 300
Englewood CO 80112-3895
Phone: (303) 761-9190
Fax: (720) 874-4462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 26523 | Nebraska |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04-36314 | Kansas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 50665 | Colorado |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD17508 | Hawaii |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD00046721 | Washington |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | DR.0050665 | Colorado |
Profile Details
| NPI number | 1104938208 |
|---|---|
| LBN Legal business name | Kooy, Todd Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 29th, 2024 - about 8 months 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 | 1104938208 | NPPES |
| Wyoming | MEDICAID | 1104938208 | |
| Wyoming | MEDICAID | 00978566 | |
| Wyoming | MEDICAID | 200870140A | |
| Wyoming | MEDICAID | 1104938208 |
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