Nordstrom, David Marc

Nordstrom, David Marc is an individual health care provider with primary practice located at 4110 Briargate Pkwy Suite 300, Colorado Springs CO 80920-7835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nordstrom, David Marc can be contacted via phone (719) 632-7669.

Contact Information

Primary practice address
4110 Briargate Pkwy Suite 300 Colorado Springs CO 80920-7835
Phone: (719) 632-7669
Fax: (719) 632-0088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27606 Colorado

Profile Details

NPI number 1215932942
LBN Legal business name Nordstrom, David Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated May 15th, 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 1215932942 NPPES
Colorado MEDICAID 01276062

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