Cetaruk, Edward W
Cetaruk, Edward W is an individual health care provider with primary practice located at 2555 S Downing St Suite 260, Denver CO 80210-5855. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Medical Toxicology is his primary health care specialty. Cetaruk, Edward W can be contacted via phone (303) 765-3800.Contact Information
Primary practice address
2555 S Downing St Suite 260
Denver CO 80210-5855
Phone: (303) 765-3800
Fax: (303) 765-3804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34578 | Colorado |
| Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | DR.0034578 | Colorado |
Profile Details
| NPI number | 1578533154 |
|---|---|
| LBN Legal business name | Cetaruk, Edward W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | May 3rd, 2016 - about 10 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 | 1578533154 | NPPES |
| Colorado | MEDICAID | 92374875 | |
| Colorado | MEDICAID | 01345784 |
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