Faries, Stephen Glenn

Faries, Stephen Glenn is an individual health care provider with primary practice located at 1056 E 19Th Ave , Denver CO 80218-1007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Faries, Stephen Glenn can be contacted via phone (303) 493-7000.

Contact Information

Primary practice address
1056 E 19Th Ave Denver CO 80218-1007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35045 Colorado

Profile Details

NPI number 1407931132
LBN Legal business name Faries, Stephen Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1407931132 NPPES
Colorado MEDICAID 01350453

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