Bleistein, Abby Lise
Bleistein, Abby Lise is an individual health care provider with primary practice located at 2600 Campus Dr Suite A, Lafayette CO 80026-3357. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bleistein, Abby Lise can be contacted via phone (303) 673-1900.Contact Information
Primary practice address
2600 Campus Dr Suite A
Lafayette CO 80026-3357
Phone: (303) 673-1900
Fax: (303) 673-1915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39420 | Colorado |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 39420 | Colorado |
Profile Details
| NPI number | 1235119553 |
|---|---|
| LBN Legal business name | Bleistein, Abby Lise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Dec 18th, 2013 - about 13 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 | 1235119553 | NPPES |
| Colorado | Other | P00773004 | MEDICARE RAILROAD |
| Colorado | MEDICAID | 43753311 | MEDICARE RAILROAD |
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