Conyers, David J
Conyers, David J is an individual health care provider with primary practice located at 4740 Pearl Pkwy Ste 200 , Boulder CO 80301-3080. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Conyers, David J can be contacted via phone (303) 449-2730.Contact Information
Primary practice address
4740 Pearl Pkwy Ste 200
Boulder CO 80301-3080
Phone: (303) 449-2730
Fax: (303) 449-5821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 26818 | Colorado |
Profile Details
| NPI number | 1780648378 |
|---|---|
| LBN Legal business name | Conyers, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1780648378 | NPPES |
| Colorado | MEDICAID | 1268184 | |
| Colorado | Other | 400000514 |
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