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ASPEN CLUB INTERNATIONAL LLC NPI 1174726111


NPI Information

NPI: 1174726111
Provider Name: ASPEN CLUB INTERNATIONAL LLC

Doing Business As: ASPEN CLUB SPORTS MEDICINE INSITUTE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1450 CRYSTAL LAKE RD
SPORTS MEDICINE
ASPEN, CO
ZIP 81611
Phone: (970) 925-8940
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ASPEN CLUB INTERNATIONAL LLC is a specialist in Aspen, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ASPEN CLUB INTERNATIONAL LLC NPI is 1174726111. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Aspen Club Sports Medicine Insitute.

The provider's business location address is:

1450 CRYSTAL LAKE RD
SPORTS MEDICINE
ASPEN, CO
ZIP 81611-255
Phone: (970) 925-8940
Fax: (970) 925-9543

The provider's authorized official is Michael D Fox .
The authorized official title is Ceo and has the following contact phone number (970) 925-8900.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 10/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistC003265COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C342708MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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