Ousley, Todd David

Ousley, Todd David is an individual health care provider with primary practice located at 627 25 1/2 Rd , Grand Junction CO 81505-6401. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Ousley, Todd David can be contacted via phone (970) 242-3535.

Contact Information

Primary practice address
627 25 1/2 Rd Grand Junction CO 81505-6401
Phone: (970) 242-3535
Fax: (970) 255-6670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2319 Colorado

Profile Details

NPI number 1851498331
LBN Legal business name Ousley, Todd David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Nov 12th, 2007 - about 18 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 1851498331 NPPES
Colorado MEDICAID 17652367
Colorado Other P00376034

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