Lipson, Jonathan Mark

Lipson, Jonathan Mark is an sole proprietor health care provider with primary practice located at 1746 Cole Blvd Building 21, Suite 295, Lakewood CO 80401-3208. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lipson, Jonathan Mark can be contacted via phone (303) 916-1952.

Contact Information

Primary practice address
1746 Cole Blvd Building 21, Suite 295 Lakewood CO 80401-3208
Phone: (303) 916-1952
Fax: (303) 278-4981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2129 Colorado
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2129 Colorado

Profile Details

NPI number 1023010691
LBN Legal business name Lipson, Jonathan Mark
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Jun 11th, 2009 - about 17 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 1023010691 NPPES
Colorado MEDICAID 07021298
Colorado Other LIA53624

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