Mardones, Mabel A
Mardones, Mabel A is an individual health care provider with primary practice located at 10107 Ridgegate Pkwy Ste 200 , Lone Tree CO 80124. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Mardones, Mabel A can be contacted via phone (303) 925-0700.Contact Information
Primary practice address
10107 Ridgegate Pkwy Ste 200
Lone Tree CO 80124
Phone: (303) 925-0700
Fax: (303) 329-2599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P8274 | Texas |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | P8274 | Texas |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | DR0060709 | Colorado |
Profile Details
NPI number | 1134446461 |
---|---|
LBN Legal business name | Mardones, Mabel A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2010 |
Last updated | Sep 5th, 2018 - about 7 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 | 1134446461 | NPPES |
Colorado | MEDICAID | 9000165257 | |
Colorado | MEDICAID | 333672901 | |
Colorado | MEDICAID | 333672902 | |
Colorado | Other | P01800849 |
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