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Contact Information

EMILY C EITEN
2121 E HARMONY RD
FORT COLLINS, CO80528
 Phone: 970-493-6337
 Fax: 970-493-3528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EMILY C EITEN · (Female)

NPI # 1326396235
Status Active
Credentials
Entity Individual
Enumeration date 08/27/2012
Last updated 08/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CO License # PA.0005851
  • WA License # PA60790428
  • WA Medicaid 1326396235
Hospital affiliation(s)
  • MEDICAL CENTER OF THE ROCKIES - (Acute Care)
    2500 ROCKY MOUNTAIN AVENUE
    LOVELAND, CO 80538
  • POUDRE VALLEY HOSPITAL - (Acute Care)
    1024 S LEMAY AVE
    FORT COLLINS, CO 80524
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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