Haimes, Audrey Jo
Haimes, Audrey Jo is an individual health care provider with primary practice located at 2355 W 136Th Ave , Broomfield CO 80023-9331. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Haimes, Audrey Jo can be contacted via phone (303) 658-9827.Contact Information
Primary practice address
2355 W 136Th Ave
Broomfield CO 80023-9331
Phone: (303) 658-9827
Fax: (303) 658-9828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP05099 | Ohio |
Profile Details
| NPI number | 1134115546 |
|---|---|
| LBN Legal business name | Haimes, Audrey Jo |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Oct 10th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134115546 | NPPES |
| Ohio | MEDICAID | 2496464 |
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