Siregar, Erlin
Siregar, Erlin is an individual health care provider with primary practice located at 5235 S Liverpool Way , Centennial CO 80015. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Siregar, Erlin can be contacted via phone (720) 244-6992.Contact Information
Primary practice address
5235 S Liverpool Way
Centennial CO 80015
Phone: (720) 244-6992
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1154775013 |
|---|---|
| LBN Legal business name | Siregar, Erlin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2016 |
| Last updated | Apr 18th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154775013 | NPPES |
| Colorado | MEDICAID | 87637065 |
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