Swan, Stephen M.
Swan, Stephen M. is an individual health care provider with primary practice located at 1100 Balsam Ave , Boulder CO 80304-3404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Swan, Stephen M. can be contacted via phone (303) 440-2037.Contact Information
Primary practice address
1100 Balsam Ave
Boulder CO 80304-3404
Phone: (303) 440-2037
Fax: (303) 306-7753
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | PAL 1917 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.0001917 | Colorado |
Profile Details
NPI number | 1326012618 |
---|---|
LBN Legal business name | Swan, Stephen M. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2006 |
Last updated | Aug 7th, 2015 - 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 | 1326012618 | NPPES |
Colorado | MEDICAID | 7555344 |
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