Luedke, David J

Luedke, David J is an individual health care provider with primary practice located at 1400 E Boulder St Ste 2508 , Colorado Springs CO 80909-5533. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Luedke, David J can be contacted via phone (719) 365-6999.

Contact Information

Primary practice address
1400 E Boulder St Ste 2508 Colorado Springs CO 80909-5533
Phone: (719) 365-6999
Fax: (719) 365-6999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 112094 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN.0100048-CRNA Colorado

Profile Details

NPI number 1962407528
LBN Legal business name Luedke, David J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 20th, 2021 - about 3 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 1962407528 NPPES
Colorado MEDICAID 24106038

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