Himberger, John Robert

Himberger, John Robert is an individual health care provider with primary practice located at 1400 E Boulder St Ste 700 , Colorado Springs CO 80909-5599. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Himberger, John Robert can be contacted via phone (719) 365-5000.

Contact Information

Primary practice address
1400 E Boulder St Ste 700 Colorado Springs CO 80909-5599
Phone: (719) 365-5000
Fax: (719) 365-8445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 99711 Colorado

Profile Details

NPI number 1659351047
LBN Legal business name Himberger, John Robert
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 22nd, 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 1659351047 NPPES
Colorado MEDICAID 21276749

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