Reppert, James Fred

Reppert, James Fred is an sole proprietor health care provider with primary practice located at 1335 Phay Ave Ste A , Canon City CO 81212-2349. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Reppert, James Fred can be contacted via phone (719) 275-4151.

Contact Information

Primary practice address
1335 Phay Ave Ste A Canon City CO 81212-2349
Phone: (719) 275-4151
Fax: (719) 275-3743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22797 Colorado

Profile Details

NPI number 1285632893
LBN Legal business name Reppert, James Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Jan 11th, 2022 - about 3 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 1285632893 NPPES
Colorado Other RE75491 BLUE CROSS OF COLORADO
Colorado MEDICAID 01227974 BLUE CROSS OF COLORADO

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