Liotta, Ferdinand Jesus

Liotta, Ferdinand Jesus is an individual health care provider with primary practice located at 1450 E Valley Rd Suite 201, Basalt CO 81621-8304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Liotta, Ferdinand Jesus can be contacted via phone (970) 927-8611.

Contact Information

Primary practice address
1450 E Valley Rd Suite 201 Basalt CO 81621-8304
Phone: (970) 927-8611
Fax: (970) 927-8633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35451 Colorado
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35451 Colorado

Profile Details

NPI number 1528022134
LBN Legal business name Liotta, Ferdinand Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Mar 6th, 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 1528022134 NPPES
Colorado MEDICAID 1354513

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