Derber, Jeanne Ruth
Derber, Jeanne Ruth is an individual health care provider with primary practice located at 9240 Explorer Dr Ste 100 , Colorado Springs CO 80920-5004. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Derber, Jeanne Ruth can be contacted via phone (719) 574-7000.Contact Information
Primary practice address
9240 Explorer Dr Ste 100
Colorado Springs CO 80920-5004
Phone: (719) 574-7000
Fax: (719) 597-1712
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1161 | Colorado |
Profile Details
| NPI number | 1013976224 |
|---|---|
| LBN Legal business name | Derber, Jeanne Ruth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jun 3rd, 2021 - about 3 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 | 1013976224 | NPPES |
| Colorado | MEDICAID | 08116105 |
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