Vigil, Desirae Renee
Vigil, Desirae Renee is an sole proprietor health care provider with primary practice located at 12840 Holly St Unit 120 , Thornton CO 80602-8289. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Vigil, Desirae Renee can be contacted via phone (720) 232-7135.Contact Information
Primary practice address
12840 Holly St Unit 120
Thornton CO 80602-8289
Phone: (720) 232-7135
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | COZ720555 | Colorado |
Profile Details
| NPI number | 1407580095 |
|---|---|
| LBN Legal business name | Vigil, Desirae Renee |
| Credentials | A.P |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2022 |
| Last updated | Jul 11th, 2022 - about 4 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 | 1407580095 | NPPES |
| Colorado | Other | COZ720555 | DORA |
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