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
Phone: (719) 296-8390
Fax: (719) 296-1803
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285618538 | NPPES |
Colorado | MEDICAID | 01198159 |
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