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DENVER NEUROLOGICAL CLINIC PROFESSIONAL LLC NPI 1578744017


NPI Information

NPI: 1578744017
Provider Name: DENVER NEUROLOGICAL CLINIC PROFESSIONAL LLC

Former Legal Business Name: ADAM J. WOLFF MD LLC

Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
9980 PARK MEADOWS DR STE 100
LONE TREE, CO
ZIP 80124
Phone: (303) 715-9024
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DENVER NEUROLOGICAL CLINIC PROFESSIONAL LLC is a clinical neurophysiology psychiatry neurology in Lone Tree, CO. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DENVER NEUROLOGICAL CLINIC PROFESSIONAL LLC NPI is 1578744017. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Adam J. Wolff Md Llc.

The provider's business location address is:

9980 PARK MEADOWS DR STE 100
LONE TREE, CO
ZIP 80124-404
Phone: (303) 715-9024
Fax: (303) 715-7057

The provider's authorized official is Justin Moon .
The authorized official title is Managing Member and has the following contact phone number (303) 715-9024.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 8/31/2023.


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
12084N0600XPsychiatry & NeurologyClinical Neurophysiology42593COLORADOYes

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
110733850MEDICAIDCOLORADO
2P00361949OTHERCOLORADORAILROAD MEDICARE

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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