Suelto, Imelda
Suelto, Imelda is an individual health care provider with primary practice located at 2460 Oak Hills Dr , Colorado Springs CO 80919-3474. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Suelto, Imelda can be contacted via phone (719) 661-9441.Contact Information
Primary practice address
2460 Oak Hills Dr
Colorado Springs CO 80919-3474
Phone: (719) 661-9441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME38870 | Colorado |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME38870 | Colorado |
Profile Details
| NPI number | 1457305443 |
|---|---|
| LBN Legal business name | Suelto, Imelda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Sep 9th, 2021 - about 4 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 | 1457305443 | NPPES |
| Colorado | MEDICAID | 013437062 | |
| Colorado | Other | 388738 | |
| Colorado | Other | 050083513 |
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