Odgren, Michael D.

Odgren, Michael D. is an individual health care provider with primary practice located at 938 Bannock St Ste 300, Denver CO 80204-4028. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant, Technologists, Technicians & Other Technical Service Providers / Computed Tomography. Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant is his primary health care specialty. Odgren, Michael D. can be contacted via phone (303) 914-8800.

Contact Information

Primary practice address
938 Bannock St Ste 300 Denver CO 80204-4028
Phone: (303) 914-8800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X
Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant 243U00000X
Technologists, Technicians & Other Technical Service Providers / Computed Tomography 2471C3401X

Profile Details

NPI number 1407983356
LBN Legal business name Odgren, Michael D.
Credentials RPA, RT(R)(CT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Dec 4th, 2009 - about 16 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 1407983356 NPPES
Colorado MEDICAID 04004826

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