Gregory, Stacey Holdsworth

Gregory, Stacey Holdsworth is an individual health care provider with primary practice located at 2045 Franklin St , Denver CO 80205-5437. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gregory, Stacey Holdsworth can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2045 Franklin St Denver CO 80205-5437
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1121 Arizona
Eye and Vision Services Providers / Optometrist 152W00000X 2934 Colorado

Profile Details

NPI number 1699750927
LBN Legal business name Gregory, Stacey Holdsworth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 18th, 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 1699750927 NPPES
Colorado Other 025426 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 79227201 KAISER COMMERCIAL NUMBER

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