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ROARING FORK NEUROLOGY P.C. NPI 1417279597


NPI Information

NPI: 1417279597
Provider Name: ROARING FORK NEUROLOGY, P.C.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
227 MIDLAND AVE STE 15B
BASALT, CO
ZIP 81621
Phone: (970) 927-1141
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ROARING FORK NEUROLOGY, P.C. is a neurology psychiatry neurology in Basalt, 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. ROARING FORK NEUROLOGY, P.C. NPI is 1417279597. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

227 MIDLAND AVE STE 15B
BASALT, CO
ZIP 81621-119
Phone: (970) 927-1141
Fax: (866) 941-5664

The provider's authorized official is Alison Allen .
The authorized official title is Owner and has the following contact phone number (303) 790-4246.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 10/13/2011.


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 & NeurologyNeurology48812COLORADOYes

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
11285780874OTHERCOLORADOINDIVIDUAL NPI
248812OTHERCOLORADOCO MED LIC
3COA101105MEDICARE 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: 11/14/2023

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