Mortensen, David

Mortensen, David is an sole proprietor health care provider with primary practice located at 1311 N Mildred Rd , Cortez CO 81321-2231. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Mortensen, David can be contacted via phone (970) 564-2193.

Contact Information

Primary practice address
1311 N Mildred Rd Cortez CO 81321-2231
Phone: (970) 564-2193
Fax: (970) 564-2197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11995 Colorado
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 11995 Colorado

Profile Details

NPI number 1457584120
LBN Legal business name Mortensen, David
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2009
Last updated Jun 19th, 2014 - about 10 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 1457584120 NPPES
Colorado Other 11995 COLORADO STATE LICENSE

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