Northup, Paul Wayne

Northup, Paul Wayne is an individual health care provider with primary practice located at 1190 Bookcliff Ave #204, Grand Junction CO 81501-8159. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Northup, Paul Wayne can be contacted via phone (970) 242-9088.

Contact Information

Primary practice address
1190 Bookcliff Ave #204 Grand Junction CO 81501-8159
Phone: (970) 242-9088
Fax: (970) 257-0255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 7175 Colorado

Profile Details

NPI number 1275634867
LBN Legal business name Northup, Paul Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 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 1275634867 NPPES
Other 822910 UNITED CONCORDIA INS

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