Fegley, Phaedra A

Fegley, Phaedra A is an individual health care provider with primary practice located at 501 Anglers Dr Suite 201, Steamboat Springs CO 80487-8840. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fegley, Phaedra A can be contacted via phone (970) 871-1323.

Contact Information

Primary practice address
501 Anglers Dr Suite 201 Steamboat Springs CO 80487-8840
Phone: (970) 871-1323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43109 Colorado

Profile Details

NPI number 1235140690
LBN Legal business name Fegley, Phaedra A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jan 10th, 2008 - 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 1235140690 NPPES
Colorado Other FE670555 BLUE CROSS
Colorado MEDICAID 02050536 BLUE CROSS

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