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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1932194875 NPPES
Washington MEDICAID 9637356

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