Siriwardane, Jesica Mali
Siriwardane, Jesica Mali is an individual health care provider with primary practice located at 2720 Council Tree Ave Ste 148 , Fort Collins CO 80525-6309. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Siriwardane, Jesica Mali can be contacted via phone (970) 530-3097.Contact Information
Primary practice address
2720 Council Tree Ave Ste 148
Fort Collins CO 80525-6309
Phone: (970) 530-3097
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT.0003101 | Colorado |
Profile Details
| NPI number | 1013311851 |
|---|---|
| LBN Legal business name | Siriwardane, Jesica Mali |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2014 |
| Last updated | Oct 21st, 2014 - about 12 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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