Danylchuk, Kenneth D

Danylchuk, Kenneth D is an individual health care provider with primary practice located at 3530 E Spaulding Ave , Pueblo CO 81008-2209. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Danylchuk, Kenneth D can be contacted via phone (719) 296-9000.

Contact Information

Primary practice address
3530 E Spaulding Ave Pueblo CO 81008-2209
Phone: (719) 296-9000
Fax: (719) 296-9001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 29760 Colorado

Profile Details

NPI number 1770684409
LBN Legal business name Danylchuk, Kenneth D
Credentials MD, PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Apr 23rd, 2008 - about 18 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 1770684409 NPPES
Colorado MEDICAID 01297605

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