David, Harlan

David, Harlan is an individual health care provider with primary practice located at 2930 11Th Ave , Evans CO 80620-1011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. David, Harlan can be contacted via phone (970) 350-4606.

Contact Information

Primary practice address
2930 11Th Ave Evans CO 80620-1011
Phone: (970) 350-4606
Fax: (970) 350-4692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3239 Colorado

Profile Details

NPI number 1457632689
LBN Legal business name David, Harlan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Jan 26th, 2018 - about 6 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 1457632689 NPPES
Colorado MEDICAID 29952069

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