Healthcare Provider Details
I. General information
NPI: 1528570140
Provider Name (Legal Business Name): FIRST CHOICE ASSISTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/05/2017
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8032 WHEATLAND DR
COLORADO SPRINGS CO
80908-5694
US
IV. Provider business mailing address
8032 WHEATLAND DR
COLORADO SPRINGS CO
80908-5694
US
V. Phone/Fax
- Phone: 719-373-4220
- Fax:
- Phone: 719-381-1971
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246ZC0007X |
| Taxonomy | Surgical Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HOLLY
OSCARSON
Title or Position: OWNER
Credential:
Phone: 719-373-4220