Podlecki, David A

Podlecki, David A is an individual health care provider with primary practice located at 1925 W Mountain View Ave , Longmont CO 80501-3128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Podlecki, David A can be contacted via phone (303) 776-1234.

Contact Information

Primary practice address
1925 W Mountain View Ave Longmont CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 23646 Colorado

Profile Details

NPI number 1649277815
LBN Legal business name Podlecki, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2005
Last updated Jan 6th, 2015 - about 11 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 1649277815 NPPES
Colorado MEDICAID 01236462

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