Provider Demographics
NPI:1396319034
Name:HAYLI KARBOWSKI, MD, PLLC
Entity type:Organization
Organization Name:HAYLI KARBOWSKI, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAYLI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KARBOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-652-5409
Mailing Address - Street 1:411 W PLATTE AVENUE
Mailing Address - Street 2:SUITE A #271
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701
Mailing Address - Country:US
Mailing Address - Phone:970-652-5409
Mailing Address - Fax:
Practice Address - Street 1:423 MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-2154
Practice Address - Country:US
Practice Address - Phone:970-652-5409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care