Wolf, Colleen E
Wolf, Colleen E is an individual health care provider with primary practice located at 4674 Snow Mesa Dr Suite 200, Fort Collins CO 80528-8615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wolf, Colleen E can be contacted via phone (970) 495-8450.Contact Information
Primary practice address
4674 Snow Mesa Dr Suite 200
Fort Collins CO 80528-8615
Phone: (970) 495-8450
Fax: (970) 297-6599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3432 | Colorado |
Profile Details
NPI number | 1114994779 |
---|---|
LBN Legal business name | Wolf, Colleen E |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2006 |
Last updated | Mar 23rd, 2016 - about 8 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 | 1114994779 | NPPES |
Colorado | MEDICAID | 55183778 | |
Colorado | Other | P01084733 |
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