Nayak, Shivali
Nayak, Shivali is an individual health care provider with primary practice located at 3221 Eastbrook Dr Ste A-103 , Fort Collins CO 80525-5705. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Nayak, Shivali can be contacted via phone (970) 484-4102.Contact Information
Primary practice address
3221 Eastbrook Dr Ste A-103
Fort Collins CO 80525-5705
Phone: (970) 484-4102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DEN-10371 | Colorado |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DEN.00010371 | Colorado |
Profile Details
| NPI number | 1487953469 |
|---|---|
| LBN Legal business name | Nayak, Shivali |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2011 |
| Last updated | May 15th, 2024 - about 4 months 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 | 1487953469 | NPPES |
| Colorado | MEDICAID | 86855867 | |
| Colorado | Other | DEN.00010371 |
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