Risenhoover, Edwin Dale
Risenhoover, Edwin Dale is an individual health care provider with primary practice located at 2923 Ginnala Dr , Loveland CO 80538-2702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Risenhoover, Edwin Dale can be contacted via phone (970) 820-5000.Contact Information
Primary practice address
2923 Ginnala Dr
Loveland CO 80538-2702
Phone: (970) 820-5000
Fax: (970) 820-5061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36666 | Colorado |
Profile Details
| NPI number | 1669421822 |
|---|---|
| LBN Legal business name | Risenhoover, Edwin Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Feb 20th, 2023 - about last year |
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 | 1669421822 | NPPES |
| Other | 841328898006 | ROCKY MOUNTAIN HEALTH PLA | |
| Other | 84132889809 | ROCKY MOUNTAIN HEALTH PLA | |
| Other | 84132889809 | ROCKY MOUNTAIN HEALTH PLA | |
| MEDICAID | 01366665 | ROCKY MOUNTAIN HEALTH PLA | |
| Other | 84132889808 | ROCKY MOUNTAIN HEALTH PLA | |
| Other | 84132889808 | ROCKY MOUNTAIN HEALTH PLA |
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