Eeten, Dawn
Eeten, Dawn is an individual health care provider with primary practice located at 2121 E Harmony Rd Ste 100, Fort Collins CO 80528-3400. 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. Eeten, Dawn can be contacted via phone (970) 221-1000.Contact Information
Primary practice address
2121 E Harmony Rd Ste 100
Fort Collins CO 80528-3400
Phone: (970) 221-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0777 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1536 | Colorado |
Profile Details
| NPI number | 1134116874 |
|---|---|
| LBN Legal business name | Eeten, Dawn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Apr 13th, 2017 - about 7 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 | 1134116874 | NPPES |
| Colorado | MEDICAID | 50836544 |
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