Roesner, Nathan

Roesner, Nathan is an sole proprietor health care provider with primary practice located at 2595 Canyon Blvd Ste 360 , Boulder CO 80302-6745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Roesner, Nathan can be contacted via phone (303) 440-7546.

Contact Information

Primary practice address
2595 Canyon Blvd Ste 360 Boulder CO 80302-6745
Phone: (303) 440-7546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101017089 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 50492 Colorado

Profile Details

NPI number 1598886483
LBN Legal business name Roesner, Nathan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Oct 20th, 2021 - about 4 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 1598886483 NPPES
Colorado MEDICAID 75531267

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