Annibella, Carol A
Annibella, Carol A is an individual health care provider with primary practice located at 4851 Independence St Ste 270 , Wheat Ridge CO 80033-6712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Annibella, Carol A can be contacted via phone (303) 467-5717.Contact Information
Primary practice address
4851 Independence St Ste 270
Wheat Ridge CO 80033-6712
Phone: (303) 467-5717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3056 | Colorado |
Profile Details
| NPI number | 1184751141 |
|---|---|
| LBN Legal business name | Annibella, Carol A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 1st, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184751141 | NPPES |
| Colorado | MEDICAID | 50074580 | |
| Colorado | Other | 012025 |
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