Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 46240 | CO |
Y | 2080P0201X | Pediatric Allergist | 46240 | CO |
NPI | 1265558571 |
---|---|
Provider Name | Dr. Suzanne Essengue Belibi |
First Address | Aurora, CO 80014-3505 |
Second Address | Aurora, CO 80014-3505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
87872269 | (05) | CO |