Vernon, Elfriede E
Vernon, Elfriede E is an individual health care provider with primary practice located at 6351 Wetzel Ave Bldg 1525 , Fort Carson CO 80913-4188. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Vernon, Elfriede E can be contacted via phone (719) 524-4664.Contact Information
Primary practice address
6351 Wetzel Ave Bldg 1525
Fort Carson CO 80913-4188
Phone: (719) 524-4664
Fax: (719) 524-2116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA13986 | California |
Profile Details
| NPI number | 1205003324 |
|---|---|
| LBN Legal business name | Vernon, Elfriede E |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2008 |
| Last updated | May 13th, 2021 - about 5 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 | 1205003324 | NPPES |
| California | Other | PA13986 | LICENSE |
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