Larue, Paulette Kimberly
Larue, Paulette Kimberly is an individual health care provider with primary practice located at 6385 Corporate Dr , Colorado Springs CO 80919-5901. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Larue, Paulette Kimberly can be contacted via phone (828) 670-8056.Contact Information
Primary practice address
6385 Corporate Dr
Colorado Springs CO 80919-5901
Phone: (828) 670-8056
Fax: (828) 670-8057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 6284 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6284 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1801868971 |
|---|---|
| LBN Legal business name | Larue, Paulette Kimberly |
| Credentials | PHYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Oct 28th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801868971 | NPPES |
| North Carolina | MEDICAID | 7211608 | |
| North Carolina | Other | 9370547 | |
| North Carolina | Other | 079HJ | |
| North Carolina | Other | D7567 |
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