Burrell-Verbarg, Tamela Renee
Burrell-Verbarg, Tamela Renee is an sole proprietor health care provider with primary practice located at 1325 Denver Ave , Loveland CO 80537-5120. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Burrell-Verbarg, Tamela Renee can be contacted via phone (970) 669-7516.Contact Information
Primary practice address
1325 Denver Ave
Loveland CO 80537-5120
Phone: (970) 669-7516
Fax: (970) 669-7518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT11939T | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT.0003341 | Colorado |
Profile Details
| NPI number | 1013936574 |
|---|---|
| LBN Legal business name | Burrell-Verbarg, Tamela Renee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Dec 18th, 2017 - about 7 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 | 1013936574 | NPPES |
| California | MEDICAID | SD0119391 | |
| California | MEDICAID | 1013936574 | |
| California | MEDICAID | SD0119390 |
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