Hollenbaugh, Gerald K

Hollenbaugh, Gerald K is an individual health care provider with primary practice located at 3122 Blake Ave , Glenwood Springs CO 81601-4415. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hollenbaugh, Gerald K can be contacted via phone (970) 945-2020.

Contact Information

Primary practice address
3122 Blake Ave Glenwood Springs CO 81601-4415
Phone: (970) 945-2020
Fax: (970) 945-5630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 925 Colorado

Profile Details

NPI number 1598759953
LBN Legal business name Hollenbaugh, Gerald K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 8th, 2007 - about 19 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 1598759953 NPPES
Colorado MEDICAID 72806575

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