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Contact Information

BRENT W FIDLER
1524 W EISENHOWER BLVD
STE. C
LOVELAND, CO80537-3112
 Phone: 970-667-2954
 Fax: 970-663-4713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BRENT W FIDLER · (Female)

NPI Number 1568636207
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2008
Last updated 06/25/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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