Swenson, John Robert

Swenson, John Robert is an sole proprietor health care provider with primary practice located at 2287 Rocking Horse Ct , Colorado Springs CO 80921-6401. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Swenson, John Robert can be contacted via phone (719) 473-6677.

Contact Information

Primary practice address
2287 Rocking Horse Ct Colorado Springs CO 80921-6401
Phone: (719) 473-6677
Fax: (719) 473-9219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 474 Colorado

Profile Details

NPI number 1184616278
LBN Legal business name Swenson, John Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Nov 30th, 2010 - about 14 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 1184616278 NPPES
Colorado MEDICAID 01004746

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