Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERNIE STANLEY BACA, MS
Active Sole ProprietorERNIE STANLEY BACA, MS is a Local Education Agency healthcare provider located in FORT COLLINS, Colorado. NPI 1285054908 is currently active in the NPPES registry. Verify at CMS.
Local Education Agency · FORT COLLINS, CO
Registration Details
- NPI Number
- 1285054908
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2014 (12.271637480729 yrs)
- Last Updated
- Apr 21, 2014
- License
-
0499136 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1644 S COLLEGE AVEFORT COLLINS, CO, 805251007Browse CO providers · Browse ZIP 80525
- Phone
- 9702210999
- Fax
- 9702212727
- Primary Specialty
-
Local Education Agency
251300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.