Charbonneau, John
Charbonneau, John is an individual health care provider with primary practice located at 1900 16Th St , Greeley CO 80631-5114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Charbonneau, John can be contacted via phone (970) 350-2471.Contact Information
Primary practice address
1900 16Th St
Greeley CO 80631-5114
Phone: (970) 350-2471
Fax: (970) 350-2418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | DR.0030255 | Colorado |
Profile Details
| NPI number | 1942272752 |
|---|---|
| LBN Legal business name | Charbonneau, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Aug 19th, 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 | 1942272752 | NPPES |
| Colorado | MEDICAID | 01302553 | |
| Colorado | Other | P00944678 |
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