Pedersen, Robert L.

Pedersen, Robert L. is an individual health care provider with primary practice located at 5881 W 16Th St , Greeley CO 80634-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pedersen, Robert L. can be contacted via phone (970) 313-2700.

Contact Information

Primary practice address
5881 W 16Th St Greeley CO 80634-2910
Phone: (970) 313-2700
Fax: (970) 313-2727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44175 Colorado

Profile Details

NPI number 1831178078
LBN Legal business name Pedersen, Robert L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jul 2nd, 2013 - about 12 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 1831178078 NPPES
Colorado Other P00944893 MEDICARE RAILROAD CARRIER PTAN
Colorado MEDICAID 88007821 MEDICARE RAILROAD CARRIER PTAN

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