Corwin Clinic Surgical, Pc

LBN: Corwin Clinic Surgical Professional Corp
Corwin Clinic Surgical, Pc is an health care organization with primary practice located at 1925 E Orman Ave Ste A109 , Pueblo CO 81004-3555. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Corwin Clinic Surgical Professional Corp can be contacted via phone (719) 564-0210, or through Lane, Gary E. via phone (719) 564-0210.

Contact Information

Primary practice address
1925 E Orman Ave Ste A109 Pueblo CO 81004-3555
Phone: (719) 564-0210
Fax: (719) 564-9483
Website:
Map and Directions
Authorized official contact:
Name: Lane, Gary E. Doctor of Medicine (MD)
Phone: (719) 564-0210

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1356492219
LBN Legal business name Corwin Clinic Surgical Professional Corp
DBA Doing business as Corwin Clinic Surgical, Pc
Authorized official Lane, Gary E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 23rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356492219 NPPES
Colorado MEDICAID 04011417

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