Pueblo Sports And Family Medicine Pllc

LBN: Pueblo Sports And Family Medicine Pllc
Pueblo Sports And Family Medicine Pllc is an health care organization with primary practice located at 1315 Fortino Blvd Ste C , Pueblo CO 81008-1981. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Pueblo Sports And Family Medicine Pllc can be contacted via phone (719) 544-2740, or through Khosla, Rakesh via phone (719) 544-2740.

Contact Information

Primary practice address
1315 Fortino Blvd Ste C Pueblo CO 81008-1981
Phone: (719) 544-2740
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khosla, Rakesh Doctor of Medicine (MD)
Phone: (719) 544-2740

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 543004 Colorado

Profile Details

NPI number 1225525132
LBN Legal business name Pueblo Sports And Family Medicine Pllc
DBA Doing business as
Authorized official Khosla, Rakesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2018
Last updated Apr 22nd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225525132 NPPES
Colorado Other 0004910 PA NUMBER
Colorado MEDICAID 1268788 PA NUMBER

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