Sovndal, Shannon Smith
Sovndal, Shannon Smith is an individual health care provider with primary practice located at 1100 Balsam Ave , Boulder CO 80304-3404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sovndal, Shannon Smith can be contacted via phone (303) 440-2037.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 41265 | Colorado |
Profile Details
| NPI number | 1912984394 |
|---|---|
| LBN Legal business name | Sovndal, Shannon Smith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | May 7th, 2013 - about 11 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 | 1912984394 | NPPES |
| Colorado | MEDICAID | 86032330 | |
| Colorado | Other | P00019485 |
Popular Providers
-
Swan, Stephen M.
1100 Balsam Ave , Boulder CO 80304-3404 -
Thompson, Michael C
4747 Arapahoe Ave , Boulder CO 80303-1131 -
Cabeen, Martha A
1100 Balsam Ave , Boulder CO 80304-3404 -
Kruger, David H.
1100 Balsam Ave. , Boulder CO 80304-3404 -
Murphey, Jill
2750 Broadway St , Boulder CO 80304-3573 -
Sato, Randall E
2750 Broadway St , Boulder CO 80304-3573 -
Wiebe, David P
3922 Promontory Ct , Boulder CO 80304-1054 -
Wolfe, Laird Stephen
1100 Balsam Ave , Boulder CO 80304-3404