Susnow, Nathan J
Susnow, Nathan J is an individual health care provider with primary practice located at 1000 W South Boulder Rd Ste 200 , Lafayette CO 80026-2088. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Hepatology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Susnow, Nathan J can be contacted via phone (720) 932-7719.Contact Information
Primary practice address
1000 W South Boulder Rd Ste 200
Lafayette CO 80026-2088
Phone: (720) 932-7719
Fax: (720) 890-0364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | DR.0054243 | Colorado |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | DR.0054243 | Colorado |
Profile Details
| NPI number | 1396891974 |
|---|---|
| LBN Legal business name | Susnow, Nathan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Apr 17th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396891974 | NPPES |
| Colorado | MEDICAID | 53276311 | |
| Colorado | Other | 028861 |
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