Venrick, Michael Glen

Venrick, Michael Glen is an individual health care provider with primary practice located at 6116 E Warren Ave , Denver CO 80222-5703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Venrick, Michael Glen can be contacted via phone (303) 512-0888.

Contact Information

Primary practice address
6116 E Warren Ave Denver CO 80222-5703
Phone: (303) 512-0888
Fax: (303) 512-2288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 27268 Colorado
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 27268 Colorado

Profile Details

NPI number 1770551848
LBN Legal business name Venrick, Michael Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 18th, 2014 - about 11 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 1770551848 NPPES
Arizona MEDICAID 641797
Arizona MEDICAID Z3579
Arizona MEDICAID Z4635
Arizona MEDICAID 01272681

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