Pavot, Dawn
Pavot, Dawn is an individual health care provider with primary practice located at 1950 Mountain View Ave , Longmont CO 80501-3129. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Pavot, Dawn can be contacted via phone (303) 776-4824.Contact Information
Primary practice address
1950 Mountain View Ave
Longmont CO 80501-3129
Phone: (303) 776-4824
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 41150 | Colorado |
Profile Details
| NPI number | 1972539534 |
|---|---|
| LBN Legal business name | Pavot, Dawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Nov 4th, 2020 - about 6 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 | 1972539534 | NPPES |
| Colorado | Other | E8108 | BCBS |
| Colorado | MEDICAID | 77530781 | BCBS |
| Colorado | Other | P00049033 | BCBS |
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