Liddle, Justin Kimball
Liddle, Justin Kimball is an individual health care provider with primary practice located at 2001 S Shields St Ste B1 , Fort Collins CO 80526-1829. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Liddle, Justin Kimball can be contacted via phone (970) 224-4358.Contact Information
Primary practice address
2001 S Shields St Ste B1
Fort Collins CO 80526-1829
Phone: (970) 224-4358
Fax: (970) 224-4388
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Prosthodontics | 1223P0700X | 10142 | Colorado |
Profile Details
NPI number | 1154634707 |
---|---|
LBN Legal business name | Liddle, Justin Kimball |
Credentials | DMD, CDT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 23rd, 2010 |
Last updated | Jul 23rd, 2010 - about 15 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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