Jefferson, Phyllis Eileen
Jefferson, Phyllis Eileen is an individual health care provider with primary practice located at 5730 Ward Rd Suite 102, Arvada CO 80002-1300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jefferson, Phyllis Eileen can be contacted via phone (303) 422-6331.Contact Information
Primary practice address
5730 Ward Rd Suite 102
Arvada CO 80002-1300
Phone: (303) 422-6331
Fax: (303) 422-6379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 44567 | Colorado |
Profile Details
| NPI number | 1689715823 |
|---|---|
| LBN Legal business name | Jefferson, Phyllis Eileen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1689715823 | NPPES |
| Colorado | Other | 44567 | LICENSE # |
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