Damon, Heather

Damon, Heather is an individual health care provider with primary practice located at 822 W 4Th St , Leadville CO 80461-3861. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Damon, Heather can be contacted via phone (719) 486-0230.

Contact Information

Primary practice address
822 W 4Th St Leadville CO 80461-3861
Phone: (719) 486-0230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2250 Colorado

Profile Details

NPI number 1285609867
LBN Legal business name Damon, Heather
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Feb 12th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285609867 NPPES
Colorado MEDICAID 40932061

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