Eifert, Earl Dennis

Eifert, Earl Dennis is an individual health care provider with primary practice located at 3676 Parker Blvd Suite 310, Pueblo CO 81008-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Eifert, Earl Dennis can be contacted via phone (719) 296-8390.

Contact Information

Primary practice address
3676 Parker Blvd Suite 310 Pueblo CO 81008-2212
Fax: (719) 296-1803
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19815 Colorado

Profile Details

NPI number 1285618538
LBN Legal business name Eifert, Earl Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 9th, 2007 - about 18 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 1285618538 NPPES
Colorado MEDICAID 01198159

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