Carr, Jennifer T

Carr, Jennifer T is an individual health care provider with primary practice located at 2648 Broadway , Boulder CO 80304. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Carr, Jennifer T can be contacted via phone (303) 938-8646.

Contact Information

Primary practice address
2648 Broadway Boulder CO 80304
Phone: (303) 938-8646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CO2054 Colorado

Profile Details

NPI number 1801867478
LBN Legal business name Carr, Jennifer T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Mar 30th, 2010 - about 16 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 1801867478 NPPES
Colorado Other CO41214 MEDICARE PTAN

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