Ikelheimer, Douglas Mark
Ikelheimer, Douglas Mark is an individual health care provider with primary practice located at 777 Bannock St Mc 7782, Denver CO 80204-4507. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ikelheimer, Douglas Mark can be contacted via phone (303) 436-6000.Contact Information
Primary practice address
777 Bannock St Mc 7782
Denver CO 80204-4507
Phone: (303) 436-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 40353 | Colorado |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD453478 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 0101259575 | Virginia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 76822 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101259575 | Virginia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C163816 | California |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | MD453478 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0101259575 | Virginia |
Profile Details
| NPI number | 1508979519 |
|---|---|
| LBN Legal business name | Ikelheimer, Douglas Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | May 30th, 2024 - about 2 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 | 1508979519 | NPPES |
| Colorado | MEDICAID | 05722730 |
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