Fisher, Colette Elise

Fisher, Colette Elise is an individual health care provider with primary practice located at 2345 Bent Way , Longmont CO 80503-7614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fisher, Colette Elise can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2345 Bent Way Longmont CO 80503-7614
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M4065 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DR.0055481 Colorado

Profile Details

NPI number 1417018649
LBN Legal business name Fisher, Colette Elise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jun 10th, 2021 - about 5 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 1417018649 NPPES
Texas MEDICAID 180708301
Texas MEDICAID 96780053
Texas Other 028879
Texas Other 8W6431

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