Destefano, Samuel Fisk

Destefano, Samuel Fisk is an individual health care provider with primary practice located at 13001 E 17Th Pl University Of Colorado School Of Medicine Gme, Aurora CO 80045. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Destefano, Samuel Fisk can be contacted via phone (303) 724-4330.

Contact Information

Primary practice address
13001 E 17Th Pl University Of Colorado School Of Medicine Gme Aurora CO 80045
Phone: (303) 724-4330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0058144 Colorado
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X DR.0058144 Colorado

Profile Details

NPI number 1114260619
LBN Legal business name Destefano, Samuel Fisk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2013
Last updated Dec 7th, 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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