Hiratzka, Paul S

Hiratzka, Paul S is an individual health care provider with primary practice located at 2410 W 16Th St , Greeley CO 80634-6004. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hiratzka, Paul S can be contacted via phone (970) 352-6353.

Contact Information

Primary practice address
2410 W 16Th St Greeley CO 80634-6004
Phone: (970) 352-6353
Fax: (970) 356-2264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23023 Colorado

Profile Details

NPI number 1942295241
LBN Legal business name Hiratzka, Paul S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jun 21st, 2011 - about 15 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 1942295241 NPPES
Colorado MEDICAID 01230234
Colorado Other 840592369002
Colorado Other 002840592369
Colorado Other 10384520
Colorado Other HI98928

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