Thibodeau, Patrice M

Thibodeau, Patrice M is an individual health care provider with primary practice located at 28000 Meadow Drive #210 , Evergreen CO 80439. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Thibodeau, Patrice M can be contacted via phone (303) 679-8500.

Contact Information

Primary practice address
28000 Meadow Drive #210 Evergreen CO 80439
Fax: (303) 679-8505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0054626 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD15542 Maine
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X DR.0054626 Colorado

Profile Details

NPI number 1902992308
LBN Legal business name Thibodeau, Patrice M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jan 15th, 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 1902992308 NPPES
Colorado Other C544638 EMPLOYER PTAN
Colorado Other 378538YY4G EMPLOYER PTAN

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