Van Der Sloot, Paul G

Van Der Sloot, Paul G is an individual health care provider with primary practice located at 701 E Hampden Ave Ste 225 , Englewood CO 80113-2737. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Van Der Sloot, Paul G can be contacted via phone (303) 788-9200.

Contact Information

Primary practice address
701 E Hampden Ave Ste 225 Englewood CO 80113-2737
Phone: (303) 788-9200
Fax: (303) 781-4368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 21280 West Virginia
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 252522 New York

Profile Details

NPI number 1528163979
LBN Legal business name Van Der Sloot, Paul G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Feb 10th, 2022 - 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 1528163979 NPPES
West Virginia MEDICAID 1809555000
West Virginia MEDICAID 03117264

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