Fussnecker, Michelle L

Fussnecker, Michelle L is an individual health care provider with primary practice located at 6450 W 120Th Ave Unit A , Broomfield CO 80020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fussnecker, Michelle L can be contacted via phone (720) 274-9200.

Contact Information

Primary practice address
6450 W 120Th Ave Unit A Broomfield CO 80020
Phone: (720) 274-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2016-0060 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0004945 Colorado

Profile Details

NPI number 1871047753
LBN Legal business name Fussnecker, Michelle L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2016
Last updated Jun 21st, 2018 - 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.

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