Austin, Phyllis
Austin, Phyllis is an individual health care provider with primary practice located at 4863 N. Nevada Avenue , Colorado Springs CO 80918. 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. Austin, Phyllis can be contacted via phone (719) 255-8001.Contact Information
Primary practice address
4863 N. Nevada Avenue
Colorado Springs CO 80918
Phone: (719) 255-8001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RNX163309 | Colorado |
Profile Details
| NPI number | 1720068505 |
|---|---|
| LBN Legal business name | Austin, Phyllis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Dec 13th, 2016 - about 8 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 | 1720068505 | NPPES |
| Colorado | MEDICAID | 12107875 |
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