Lipka, Desiree
Lipka, Desiree is an individual health care provider with primary practice located at 3225 Independence Rd , Canon City CO 81212-9380. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lipka, Desiree can be contacted via phone (719) 275-2351.Contact Information
Primary practice address
3225 Independence Rd
Canon City CO 81212-9380
Phone: (719) 275-2351
Fax: (719) 269-9386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 992719 | Colorado |
Profile Details
| NPI number | 1487788121 |
|---|---|
| LBN Legal business name | Lipka, Desiree |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | May 23rd, 2013 - about 12 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 | 1487788121 | NPPES |
| Colorado | MEDICAID | 85154334 |
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