Lipson, Jonathan Mark
Lipson, Jonathan Mark is an sole proprietor health care provider with primary practice located at 1746 Cole Blvd Building 21, Suite 295, Lakewood CO 80401-3208. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lipson, Jonathan Mark can be contacted via phone (303) 916-1952.Contact Information
Primary practice address
1746 Cole Blvd Building 21, Suite 295
Lakewood CO 80401-3208
Phone: (303) 916-1952
Fax: (303) 278-4981
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2129 | Colorado |
Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 2129 | Colorado |
Profile Details
NPI number | 1023010691 |
---|---|
LBN Legal business name | Lipson, Jonathan Mark |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 12th, 2005 |
Last updated | Jun 11th, 2009 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023010691 | NPPES |
Colorado | MEDICAID | 07021298 | |
Colorado | Other | LIA53624 |
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