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BLUE SKY NEUROLOGY PC LLC NPI 1366500373


NPI Information

NPI: 1366500373
Provider Name: BLUE SKY NEUROLOGY, PC LLC

Doing Business As: BLUE SKY NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
499 E. HAMPDEN AVE.
#360
ENGLEWOOD, CO
ZIP 80113
Phone: (303) 781-4485
Get Directions

BLUE SKY NEUROLOGY, PC LLC is a neurology psychiatry neurology in Englewood, CO. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BLUE SKY NEUROLOGY, PC LLC NPI is 1366500373. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Blue Sky Neurology.

The provider's business location address is:

499 E. HAMPDEN AVE.
#360
ENGLEWOOD, CO
ZIP 80113
Phone: (303) 781-4485
Fax: (720) 274-0064

The provider's authorized official is Ira Chang .
The authorized official title is Senior Partner and has the following contact phone number (303) 781-4485.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 11/19/2009.


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
12084N0400XPsychiatry & NeurologyNeurologyCOLORADOYes

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
157487278MEDICAIDCOLORADO
2801714MEDICARE 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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