Rockwell, Deterri Dawn

Rockwell, Deterri Dawn is an individual health care provider with primary practice located at 9191 Grant St. , Thornton CO 80229-8812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rockwell, Deterri Dawn can be contacted via phone (303) 450-4482.

Contact Information

Primary practice address
9191 Grant St. Thornton CO 80229-8812
Phone: (303) 450-4482
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1024 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0001024 Colorado

Profile Details

NPI number 1275518540
LBN Legal business name Rockwell, Deterri Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 16th, 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 1275518540 NPPES
Colorado MEDICAID 84886714

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