Lindeberg, Richard Wilson
Lindeberg, Richard Wilson is an individual health care provider with primary practice located at 1120 E Elizabeth St , Fort Collins CO 80524-4044. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Lindeberg, Richard Wilson can be contacted via phone (970) 221-5050.Contact Information
Primary practice address
1120 E Elizabeth St
Fort Collins CO 80524-4044
Phone: (970) 221-5050
Fax: (970) 221-5054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 617 | Colorado |
Profile Details
| NPI number | 1396736641 |
|---|---|
| LBN Legal business name | Lindeberg, Richard Wilson |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396736641 | NPPES |
| Colorado | MEDICAID | 02006179 |
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