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LONGMONT INTEGRATIVE FAMILY PRACTICE PLLC NPI 1700229143


NPI Information

NPI: 1700229143
Provider Name: LONGMONT INTEGRATIVE FAMILY PRACTICE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D2057308

Address:
2130 MOUNTAIN VIEW AVE
SUITE 203
LONGMONT, CO
ZIP 80501
Phone: (303) 776-8847
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LONGMONT INTEGRATIVE FAMILY PRACTICE PLLC is a family medicine in Longmont, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LONGMONT INTEGRATIVE FAMILY PRACTICE PLLC NPI is 1700229143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2130 MOUNTAIN VIEW AVE
SUITE 203
LONGMONT, CO
ZIP 80501-177
Phone: (303) 776-8847
Fax: (303) 776-8897

The provider's authorized official is Glenda Weeman .
The authorized official title is Physician Owner and has the following contact phone number (303) 776-8847.

The CLIA number assigned to this NPI record is 06D2057308 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/16/2013 and was last updated on 7/16/2013.


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
1207Q00000XFamily Medicine50861COLORADOYes

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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