Frederiksen, Leslie Ginger

Frederiksen, Leslie Ginger is an individual health care provider with primary practice located at 4010 Jerry Murphy Road , Pueblo CO 81001-1045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Frederiksen, Leslie Ginger can be contacted via phone (719) 546-2229.

Contact Information

Primary practice address
4010 Jerry Murphy Road Pueblo CO 81001-1045
Phone: (719) 546-2229
Fax: (719) 583-9069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 41018 Colorado

Profile Details

NPI number 1720015324
LBN Legal business name Frederiksen, Leslie Ginger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 21st, 2022 - about 2 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 1720015324 NPPES
Colorado MEDICAID 48506311
Colorado Other 11199754
Colorado Other D009

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