Ibach, Carol P

Ibach, Carol P is an individual health care provider with primary practice located at 605 E Miami Rd , Montrose CO 81401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community, which is considered as her primary health care specialty. Ibach, Carol P can be contacted via phone (970) 249-9694.

Contact Information

Primary practice address
605 E Miami Rd Montrose CO 81401
Phone: (970) 249-9694
Fax: (970) 249-2955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community 364SP0812X 46632 Colorado

Profile Details

NPI number 1184659377
LBN Legal business name Ibach, Carol P
Credentials CNS, RXN, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 28th, 2012 - about 12 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 1184659377 NPPES
Colorado Other 84-0561224 TAX ID

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