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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639356843 | NPPES |
| Colorado | MEDICAID | 74124862 | |
| Colorado | Other | 024992 |
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