Harclerode, David A
Harclerode, David A is an sole proprietor health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913-4613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harclerode, David A can be contacted via phone (719) 524-5569.Contact Information
Primary practice address
1650 Cochrane Cir
Fort Carson CO 80913-4613
Phone: (719) 524-5569
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19638 | Arizona |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39999 | Colorado |
Profile Details
| NPI number | 1467432484 |
|---|---|
| LBN Legal business name | Harclerode, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Feb 27th, 2025 - about last year |
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 | 1467432484 | NPPES |
| Colorado | MEDICAID | 11488239 |
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