Rydberg, Justin B

Rydberg, Justin B is an individual health care provider with primary practice located at 280 Exempla Cir , Lafayette CO 80026-3370. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Rydberg, Justin B can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
280 Exempla Cir Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2906 Colorado

Profile Details

NPI number 1467788448
LBN Legal business name Rydberg, Justin B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2009
Last updated Jun 8th, 2021 - about 3 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 1467788448 NPPES
Colorado MEDICAID 53881826
Colorado Other 024332

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