Susnow, Nathan J

Susnow, Nathan J is an individual health care provider with primary practice located at 1000 W South Boulder Rd Ste 200 , Lafayette CO 80026-2088. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Transplant Hepatology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Susnow, Nathan J can be contacted via phone (720) 932-7719.

Contact Information

Primary practice address
1000 W South Boulder Rd Ste 200 Lafayette CO 80026-2088
Phone: (720) 932-7719
Fax: (720) 890-0364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00048035 Washington
Allopathic & Osteopathic Physicians / Transplant Hepatology 207RT0003X DR.0054243 Colorado
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X DR.0054243 Colorado

Profile Details

NPI number 1396891974
LBN Legal business name Susnow, Nathan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Mar 6th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396891974 NPPES
Colorado Other 028861 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 53276311 KAISER COMMERCIAL NUMBER

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