Wortham, Roy

Wortham, Roy is an individual health care provider with primary practice located at 300 Nickel St Suite 11, Broomfield CO 80020-2013. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wortham, Roy can be contacted via phone (303) 635-1816.

Contact Information

Primary practice address
300 Nickel St Suite 11 Broomfield CO 80020-2013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN6710 Colorado

Profile Details

NPI number 1568520955
LBN Legal business name Wortham, Roy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Oct 26th, 2009 - about 15 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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