Doetsch, Amanda Masek

Doetsch, Amanda Masek is an individual health care provider with primary practice located at 777 29Th St Ste 301 , Boulder CO 80303-2316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Doetsch, Amanda Masek can be contacted via phone (303) 440-8243.

Contact Information

Primary practice address
777 29Th St Ste 301 Boulder CO 80303-2316
Phone: (303) 440-8243
Fax: (303) 440-0292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2164 Colorado

Profile Details

NPI number 1972574002
LBN Legal business name Doetsch, Amanda Masek
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 25th, 2023 - about 3 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 1972574002 NPPES
Colorado Other P00728529 RAILROAD MEDICARE PIN
Colorado MEDICAID 77656369 RAILROAD MEDICARE PIN

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