Fahrenholtz, Herbert Daniel

Fahrenholtz, Herbert Daniel is an individual health care provider with primary practice located at 1600 23Rd Ave , Greeley CO 80634-6070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fahrenholtz, Herbert Daniel can be contacted via phone (970) 356-2424.

Contact Information

Primary practice address
1600 23Rd Ave Greeley CO 80634-6070
Fax: (970) 346-2828
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR32319 Colorado

Profile Details

NPI number 1811986169
LBN Legal business name Fahrenholtz, Herbert Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 29th, 2008 - about 18 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 1811986169 NPPES
Colorado MEDICAID 01323195

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