Irizarry, Debra Anne

Irizarry, Debra Anne is an individual health care provider with primary practice located at 46 Camino Baca Grande Suite #102, Crestone CO 81131. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Irizarry, Debra Anne can be contacted via phone (719) 256-6600.

Contact Information

Primary practice address
46 Camino Baca Grande Suite #102 Crestone CO 81131
Phone: (719) 256-6600
Fax: (719) 256-5796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 1679111 New York
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 9677 New Mexico
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 46205 Colorado
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 46205 Colorado

Profile Details

NPI number 1063660819
LBN Legal business name Irizarry, Debra Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Mar 19th, 2021 - about 4 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 1063660819 NPPES
Other 72651 WORKERS COMP

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