Roosevelt, Genie

Roosevelt, Genie is an individual health care provider with primary practice located at 777 Bannock St , Denver CO 80204-4507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Roosevelt, Genie can be contacted via phone (303) 602-3300.

Contact Information

Primary practice address
777 Bannock St Denver CO 80204-4507
Phone: (303) 602-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 39854 Colorado

Profile Details

NPI number 1457436198
LBN Legal business name Roosevelt, Genie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated May 9th, 2024 - about 4 months 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 1457436198 NPPES
Colorado MEDICAID 23179732

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