Pelikan, Susan M

Pelikan, Susan M is an individual health care provider with primary practice located at 8383 W Alameda Ave , Lakewood CO 80226-3007. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Pelikan, Susan M can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
8383 W Alameda Ave Lakewood CO 80226-3007
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2126 Colorado

Profile Details

NPI number 1962532705
LBN Legal business name Pelikan, Susan M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jun 19th, 2014 - about 11 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 1962532705 NPPES
Colorado MEDICAID 24752762
Colorado Other 017033

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