Scanlon, Joanne K

Scanlon, Joanne K is an individual health care provider with primary practice located at 3482 Broadway St , Boulder CO 80304-1824. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Scanlon, Joanne K can be contacted via phone (303) 413-7500.

Contact Information

Primary practice address
3482 Broadway St Boulder CO 80304-1824
Fax: (303) 441-1452
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 991313 Colorado

Profile Details

NPI number 1699779306
LBN Legal business name Scanlon, Joanne K
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 9th, 2007 - about 17 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 1699779306 NPPES
Colorado MEDICAID 60481846

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