Dawson, Jerod T
Dawson, Jerod T is an individual health care provider with primary practice located at 1907 Boise Ave Suite 1, Loveland CO 80538-5016. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dawson, Jerod T can be contacted via phone (907) 663-2200.Contact Information
Primary practice address
1907 Boise Ave Suite 1
Loveland CO 80538-5016
Phone: (907) 663-2200
Fax: (907) 663-2201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 6194 | Colorado |
Profile Details
| NPI number | 1861663346 |
|---|---|
| LBN Legal business name | Dawson, Jerod T |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2008 |
| Last updated | Feb 27th, 2013 - about 13 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 | 1861663346 | NPPES |
| Colorado | Other | CO400062 | MEDICARE INDIVIDUAL PTAN |
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