Malsom, Dawn M
Malsom, Dawn M is an individual health care provider with primary practice located at 6767 West 29Th Street , Greeley CO 80634-8063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Malsom, Dawn M can be contacted via phone (970) 652-2433.Contact Information
Primary practice address
6767 West 29Th Street
Greeley CO 80634-8063
Phone: (970) 652-2433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1664 | Colorado |
Profile Details
| NPI number | 1275664047 |
|---|---|
| LBN Legal business name | Malsom, Dawn M |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 19th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275664047 | NPPES |
| Colorado | MEDICAID | 07175043 |
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