Durussel, John Michael
Durussel, John Michael is an sole proprietor health care provider with primary practice located at 30960 Stagecoach Blvd Ste W100 , Evergreen CO 80439-7902. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Durussel, John Michael can be contacted via phone (303) 674-1122.Contact Information
Primary practice address
30960 Stagecoach Blvd Ste W100
Evergreen CO 80439-7902
Phone: (303) 674-1122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DEN.00202186 | Colorado |
Profile Details
| NPI number | 1669890125 |
|---|---|
| LBN Legal business name | Durussel, John Michael |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2014 |
| Last updated | Mar 18th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669890125 | NPPES |
| Colorado | MEDICAID | 62350277 | |
| Colorado | Other | DEN.00202186 |
Popular Providers
-
Schach, Raphael T
4351 New Falls Rd , Levittown PA 19056-3006 -
Schupak, Gail Ellen
30 Central Park S Suite 6C, New York NY 10019-1628 -
Krishnan, Radha
294 Merrimac Ct Ste 294, Prince Frederick MD 20678-4110 -
Regan, Paul Dennis
30960 Stagecoach Blvd W100, Evergreen CO 80439-7902 -
Graf, Steven J
4738 Scotts Valley Dr Ste C, Scotts Valley CA 95066-4239 -
Mckenna, Mark Joseph
424 N High St , Morristown TN 37814-3863 -
Mutschler, Mark
13908 Se Stark St Ste C, Portland OR 97233-2161 -
Howard, Lisa Peter
306 Us Route 1 Ste D1, Scarborough ME 04074-7640