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
Fax: (719) 597-1712
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013976224 NPPES
Colorado MEDICAID 08116105

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