Feldhaus, Kim Marie

Feldhaus, Kim Marie is an individual health care provider with primary practice located at 1100 Balsam Ave , Boulder CO 80304-3404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Feldhaus, Kim Marie can be contacted via phone (303) 440-2037.

Contact Information

Primary practice address
1100 Balsam Ave Boulder CO 80304-3404
Phone: (303) 440-2037
Fax: (303) 306-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30447 Colorado

Profile Details

NPI number 1194700195
LBN Legal business name Feldhaus, Kim Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated May 30th, 2013 - about 13 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 1194700195 NPPES
Colorado MEDICAID 01304476

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