Marley, Rex Alan
Marley, Rex Alan is an individual health care provider with primary practice located at 1236 E Elizabeth St Suite 1, Fort Collins CO 80524-4000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Marley, Rex Alan can be contacted via phone (970) 224-2985.Contact Information
Primary practice address
1236 E Elizabeth St Suite 1
Fort Collins CO 80524-4000
Phone: (970) 224-2985
Fax: (970) 472-9381
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 72658 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | CRA-744 | Colorado |
Profile Details
NPI number | 1518955798 |
---|---|
LBN Legal business name | Marley, Rex Alan |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2005 |
Last updated | Jul 14th, 2011 - about 13 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 | 1518955798 | NPPES |
Colorado | MEDICAID | 07726581 | |
Colorado | MEDICAID | 108530100 |
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