Sammons, Robert Ardel

Sammons, Robert Ardel is an individual health care provider with primary practice located at 1400 N 7Th St Mesa Behavioral Medicine Clinic Pc, Grand Junction CO 81501-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Sammons, Robert Ardel can be contacted via phone (970) 241-1983.

Contact Information

Primary practice address
1400 N 7Th St Mesa Behavioral Medicine Clinic Pc Grand Junction CO 81501-3004
Phone: (970) 241-1983
Fax: (970) 242-6135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 28579 Colorado

Profile Details

NPI number 1073508495
LBN Legal business name Sammons, Robert Ardel
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Sep 3rd, 2010 - about 15 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 1073508495 NPPES
Colorado Other 28579 STATE OF CO REGISTRATIONS
Colorado MEDICAID 016862 STATE OF CO REGISTRATIONS
Colorado Other BS0652568 STATE OF CO REGISTRATIONS

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