David Fisk
Individual provider Active NPI Home Modifications Contractor · Frederick, CO
NPI 1922876259 · NPPES record last updated Dec 15, 2023
Key facts
- NPI
- 1922876259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- Practice address
- 107 Walnut St
Frederick, CO 80530 - Phone
- (303) 956-7179
- NPI assigned
- Dec 15, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Improvement Services by Dave LLC | Home Modifications | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Yes |
Addresses
Primary practice location
107 Walnut St
Frederick, CO 80530
Mailing address
PO Box 474
Frederick, CO 80530-0474
Other providers in Frederick, CO
- Catherine Jill Eich
- Rebecca Jean Elliott
- Megan Epps
- Lawrence M Feinman
- Firestone Pediatric Dentistry and Orthodontics
- Michelle Lynn Fray
- Frederick Area Fire Protection District
- Lissette D Frederick
- Stephanie Jean Freise
- Elizabeth Frias
All providers in Frederick, CO · Home Modifications Contractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.