Nivens, Darrell T

Nivens, Darrell T is an individual health care provider with primary practice located at 100 Health Park Dr , Louisville CO 80027-9583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nivens, Darrell T can be contacted via phone (303) 422-9438.

Contact Information

Primary practice address
100 Health Park Dr Louisville CO 80027-9583
Fax: (303) 422-9474
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35256 Colorado

Profile Details

NPI number 1518916428
LBN Legal business name Nivens, Darrell T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Oct 16th, 2007 - about 17 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 1518916428 NPPES
Colorado MEDICAID 76303268

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