Odehnal, Marek A

Odehnal, Marek A is an individual health care provider with primary practice located at 1925 Mountain View Ave , Longmont CO 80501-3128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Odehnal, Marek A can be contacted via phone (720) 494-3126.

Contact Information

Primary practice address
1925 Mountain View Ave Longmont CO 80501-3128
Phone: (720) 494-3126
Fax: (720) 718-8025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01060578 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0053285 Colorado

Profile Details

NPI number 1780643262
LBN Legal business name Odehnal, Marek A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Nov 5th, 2021 - about 3 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 1780643262 NPPES
Indiana MEDICAID 200807010A
Indiana MEDICAID 30103886

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