Fonken, Paul W
Fonken, Paul W is an individual health care provider with primary practice located at 131 Stanley Ave Suite 202, Estes Park CO 80517-6363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fonken, Paul W can be contacted via phone (970) 586-2343.Contact Information
Primary practice address
131 Stanley Ave Suite 202
Estes Park CO 80517-6363
Phone: (970) 586-2343
Fax: (970) 586-9060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28920 | Colorado |
Profile Details
| NPI number | 1831153345 |
|---|---|
| LBN Legal business name | Fonken, Paul W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jan 3rd, 2017 - about 7 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 | 1831153345 | NPPES |
| Colorado | MEDICAID | 01289206 |
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