Noteboom, Kurt Douglas
Noteboom, Kurt Douglas is an sole proprietor health care provider with primary practice located at 80 Health Park Dr #230, Louisville CO 80027-9584. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Noteboom, Kurt Douglas can be contacted via phone (303) 665-2603.Contact Information
Primary practice address
80 Health Park Dr #230
Louisville CO 80027-9584
Phone: (303) 665-2603
Fax: (303) 665-2605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10057 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 738 | Colorado |
Profile Details
| NPI number | 1124135264 |
|---|---|
| LBN Legal business name | Noteboom, Kurt Douglas |
| Credentials | PA-C, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jan 15th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124135264 | NPPES |
| Minnesota | MEDICAID | 322152100 |
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