Marr, Kevin
Marr, Kevin is an individual health care provider with primary practice located at 1813 61St Ave Ste 100 , Greeley CO 80634-8059. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marr, Kevin can be contacted via phone (970) 356-2605.Contact Information
Primary practice address
1813 61St Ave Ste 100
Greeley CO 80634-8059
Phone: (970) 356-2605
Fax: (970) 304-6804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9370 | Colorado |
Profile Details
| NPI number | 1417928722 |
|---|---|
| LBN Legal business name | Marr, Kevin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Feb 3rd, 2022 - about 2 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 | 1417928722 | NPPES |
| Minnesota | MEDICAID | 831924300 | |
| Minnesota | Other | 9370 |
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