Detty, Shannon Quirk
Detty, Shannon Quirk is an individual health care provider with primary practice located at 2880 Folsom St Ste 200 , Boulder CO 80304-3769. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Detty, Shannon Quirk can be contacted via phone (303) 442-6647.Contact Information
Primary practice address
2880 Folsom St Ste 200
Boulder CO 80304-3769
Phone: (303) 442-6647
Fax: (303) 442-2696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 6600-851 | Wisconsin |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 70147 | Wisconsin |
Profile Details
| NPI number | 1790149763 |
|---|---|
| LBN Legal business name | Detty, Shannon Quirk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2016 |
| Last updated | Oct 7th, 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.
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