Takaki, Alan M
Takaki, Alan M is an individual health care provider with primary practice located at 1630 Fortino Blvd , Pueblo CO 81008-1856. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Takaki, Alan M can be contacted via phone (719) 545-2468.Contact Information
Primary practice address
1630 Fortino Blvd
Pueblo CO 81008-1856
Phone: (719) 545-2468
Fax: (719) 545-0815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 00126 | Colorado |
Profile Details
| NPI number | 1306822556 |
|---|---|
| LBN Legal business name | Takaki, Alan M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jan 17th, 2008 - about 16 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 | 1306822556 | NPPES |
| Colorado | Other | 722113 | UNITED CONCORDIA |
| Colorado | Other | 78325 | UNITED CONCORDIA |
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