Phillips-Borstad, Leilani Michelle

Phillips-Borstad, Leilani Michelle is an individual health care provider with primary practice located at 5104 S Field St Ste C, Littleton CO 80123-7308. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Phillips-Borstad, Leilani Michelle can be contacted via phone (303) 979-3937.

Contact Information

Primary practice address
5104 S Field St Ste C Littleton CO 80123-7308
Phone: (303) 979-3937
Fax: (866) 881-3396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2135 Colorado

Profile Details

NPI number 1578569331
LBN Legal business name Phillips-Borstad, Leilani Michelle
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jan 9th, 2009 - about 17 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 1578569331 NPPES
Colorado Other CO2135 EYEMED
Colorado Other 920370 EYEMED
Colorado Other 805234 EYEMED
Colorado MEDICAID 82677824 EYEMED
Colorado Other 5178222 EYEMED

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