Ordahl, John N
Ordahl, John N is an sole proprietor health care provider with primary practice located at 3505 Austin Bluffs Pkwy Suiet 215 , Colorado Springs CO 80918. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Ordahl, John N can be contacted via phone (719) 596-3098.Contact Information
Primary practice address
3505 Austin Bluffs Pkwy Suiet 215
Colorado Springs CO 80918
Phone: (719) 596-3098
Fax: (719) 596-3009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5462 | Colorado |
Profile Details
| NPI number | 1851377014 |
|---|---|
| LBN Legal business name | Ordahl, John N |
| Credentials | D.D.S.M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2005 |
| Last updated | May 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851377014 | NPPES |
| Colorado | Other | 0005233146 | AETNA DMO |
| Colorado | Other | 794996 | AETNA DMO |
| Colorado | MEDICAID | 1801027925 | AETNA DMO |
| Colorado | MEDICAID | 02054625 | AETNA DMO |
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