Powell, Eric C

Powell, Eric C is an individual health care provider with primary practice located at 2855 Main Ave Ste A105 , Durango CO 81301-5959. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Powell, Eric C can be contacted via phone (970) 382-6690.

Contact Information

Primary practice address
2855 Main Ave Ste A105 Durango CO 81301-5959
Phone: (970) 382-6690
Fax: (970) 382-0207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY2927 Colorado

Profile Details

NPI number 1215038880
LBN Legal business name Powell, Eric C
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1215038880 NPPES
Colorado Other PSY2927 ST LICENSE

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