Swan, Stephen M.

Swan, Stephen M. is an individual health care provider with primary practice located at 1100 Balsam Ave , Boulder CO 80304-3404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Swan, Stephen M. can be contacted via phone (303) 440-2037.

Contact Information

Primary practice address
1100 Balsam Ave Boulder CO 80304-3404
Phone: (303) 440-2037
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PAL 1917 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0001917 Colorado

Profile Details

NPI number 1326012618
LBN Legal business name Swan, Stephen M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Aug 7th, 2015 - about 10 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 1326012618 NPPES
Colorado MEDICAID 7555344

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