Resnick, Steven D

Resnick, Steven D is an individual health care provider with primary practice located at 3575 Broadway St , Boulder CO 80304-1825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Resnick, Steven D can be contacted via phone (303) 449-0933.

Contact Information

Primary practice address
3575 Broadway St Boulder CO 80304-1825
Fax: (303) 447-0794
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 199481 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0058506 Colorado

Profile Details

NPI number 1124083456
LBN Legal business name Resnick, Steven D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 8th, 2017 - about 7 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 1124083456 NPPES
Colorado MEDICAID 37125036
Colorado MEDICAID 01576365

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