Individual
ERIN MICHAEL CARNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 S. LEMAY AVE., FORT COLLINS, CO 80524-3929
(970) 495-7000
(303) 306-7753
Mailing address
P.O. BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003949
CO
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77854560
—
CO
01
—
P01373708
RAILROAD MEDICARE
CO
Enumeration date
10/02/2008
Last updated
07/30/2015
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