Southern Colorado Ent & Allergy Llc

LBN: Southern Colorado Ent & Allergy Llc
Southern Colorado Ent & Allergy Llc is an health care organization with primary practice located at 3676 Parker Blvd Ste 320 , Pueblo CO 81008-2213. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern Colorado Ent & Allergy Llc can be contacted via phone (719) 296-6989, or through Mclean, Robert C via phone (719) 647-9286.

Contact Information

Primary practice address
3676 Parker Blvd Ste 320 Pueblo CO 81008-2213
Phone: (719) 296-6989
Fax: (719) 296-6990
Website:
Map and Directions
Authorized official contact:
Name: Mclean, Robert C MD, PHD
Phone: (719) 647-9286

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 41367 Colorado

Profile Details

NPI number 1851412134
LBN Legal business name Southern Colorado Ent & Allergy Llc
DBA Doing business as
Authorized official Mclean, Robert C MD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Jun 13th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851412134 NPPES
Colorado MEDICAID 35883545

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