Lege, Fred Campbell
Lege, Fred Campbell is an individual health care provider with primary practice located at 27 E Vermijo Ave Ste 16 , Colorado Springs CO 80903-2208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lege, Fred Campbell can be contacted via phone (710) 520-7080.Contact Information
Primary practice address
27 E Vermijo Ave Ste 16
Colorado Springs CO 80903-2208
Phone: (710) 520-7080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN 181292/5312 | Colorado |
Profile Details
| NPI number | 1932194875 |
|---|---|
| LBN Legal business name | Lege, Fred Campbell |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Nov 13th, 2007 - about 18 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 | 1932194875 | NPPES |
| Washington | MEDICAID | 9637356 |
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