Havrilla, Jennifer
Havrilla, Jennifer is an sole proprietor health care provider with primary practice located at 425 Crows Nest Ct , Fort Collins CO 80525-3118. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Havrilla, Jennifer can be contacted via phone (970) 629-1325.Contact Information
Primary practice address
425 Crows Nest Ct
Fort Collins CO 80525-3118
Phone: (970) 629-1325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0002925 | Colorado |
Profile Details
| NPI number | 1134480973 |
|---|---|
| LBN Legal business name | Havrilla, Jennifer |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2012 |
| Last updated | Nov 24th, 2016 - about 10 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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