Blau, Shimon Yechiel

Blau, Shimon Yechiel is an individual health care provider with primary practice located at 1536 Cole Blvd Ste 120 , Lakewood CO 80401-3405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Blau, Shimon Yechiel can be contacted via phone (303) 423-8334.

Contact Information

Primary practice address
1536 Cole Blvd Ste 120 Lakewood CO 80401-3405
Phone: (303) 423-8334
Fax: (303) 456-1856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 50730 Colorado

Profile Details

NPI number 1215048723
LBN Legal business name Blau, Shimon Yechiel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 27th, 2020 - about 6 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 1215048723 NPPES
Colorado Other 50730 COLORADO LICENSE
Colorado Other ME107862 COLORADO LICENSE

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