Fuentes, Michelle Guadalupe

Fuentes, Michelle Guadalupe is an sole proprietor health care provider with primary practice located at 6730 Lonewood Dr , Colorado Springs CO 80925-9548. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Fuentes, Michelle Guadalupe can be contacted via phone (719) 964-9514.

Contact Information

Primary practice address
6730 Lonewood Dr Colorado Springs CO 80925-9548
Phone: (719) 964-9514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X PHAT0000195 Colorado

Profile Details

NPI number 1710567276
LBN Legal business name Fuentes, Michelle Guadalupe
Credentials CPHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2021
Last updated Apr 9th, 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 1710567276 NPPES
Colorado Other PHAT.0000195 COLORADO STATE BOARD OF PHARMACY

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