Fernholz, Lee A
Fernholz, Lee A is an individual health care provider with primary practice located at 12 E Pikes Peak Ave , Colorado Springs CO 80903-1504. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Fernholz, Lee A can be contacted via phone (719) 577-4366.Contact Information
Primary practice address
12 E Pikes Peak Ave
Colorado Springs CO 80903-1504
Phone: (719) 577-4366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 008896500000 | Colorado |
Profile Details
| NPI number | 1346327533 |
|---|---|
| LBN Legal business name | Fernholz, Lee A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Oct 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346327533 | NPPES |
| Colorado | MEDICAID | 08100497 |
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