Mile High Plastic Surgery

LBN: Mile High Plastic Surgery A Professional Llc
Mile High Plastic Surgery is an health care organization with primary practice located at 2595 Canyon Blvd Ste 360 , Boulder CO 80302-6745. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Mile High Plastic Surgery A Professional Llc can be contacted via phone (303) 440-7546, or through Roesner, Nathan via phone (303) 552-1996.

Contact Information

Primary practice address
2595 Canyon Blvd Ste 360 Boulder CO 80302-6745
Phone: (303) 440-7546
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roesner, Nathan Doctor of Osteopathy (DO)
Phone: (303) 552-1996

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X DR-50492 Colorado

Profile Details

NPI number 1982978797
LBN Legal business name Mile High Plastic Surgery A Professional Llc
DBA Doing business as Mile High Plastic Surgery
Authorized official Roesner, Nathan Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2012
Last updated Oct 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982978797 NPPES
Colorado MEDICAID 97705578

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