Shabazz, Uintah

Shabazz, Uintah is an individual health care provider with primary practice located at 6303 Wadsworth Bypass , Arvada CO 80003-4838. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Shabazz, Uintah can be contacted via phone (303) 275-7517.

Contact Information

Primary practice address
6303 Wadsworth Bypass Arvada CO 80003-4838
Phone: (303) 275-7517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 140808 Colorado

Profile Details

NPI number 1851471619
LBN Legal business name Shabazz, Uintah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1851471619 NPPES
Colorado MEDICAID 54383234

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