Stahulak, Andrea Lee

Stahulak, Andrea Lee is an individual health care provider with primary practice located at 2045 Franklin St , Denver CO 80205-5437. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Stahulak, Andrea Lee can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2045 Franklin St Denver CO 80205-5437
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 054488 Colorado
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301097496 Michigan
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301097496 Michigan

Profile Details

NPI number 1639356843
LBN Legal business name Stahulak, Andrea Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Dec 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639356843 NPPES
Colorado MEDICAID 74124862
Colorado Other 024992

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