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ROCKY MOUNTAIN ANAPLASTOLOGY INC NPI 1760453146


NPI Information

NPI: 1760453146
Provider Name: ROCKY MOUNTAIN ANAPLASTOLOGY INC

Doing Business As: PROSTHETIC ILLUSIONS INC

Classification: Anaplastologist - 229N00000X
Entity Type: Organization
Address:
255 UNION BLVD STE 230
LAKEWOOD, CO
ZIP 80228
Phone: (303) 973-8482
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ROCKY MOUNTAIN ANAPLASTOLOGY INC is an anaplastologist in Lakewood, CO. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). ROCKY MOUNTAIN ANAPLASTOLOGY INC NPI is 1760453146. The provider is registered as an organization entity type.
The provider Is Doing Business As Prosthetic Illusions Inc.

The provider's business location address is:

255 UNION BLVD STE 230
LAKEWOOD, CO
ZIP 80228-861
Phone: (303) 973-8482
Fax: (303) 973-8468

The provider's authorized official is Barbara Lillo .
The authorized official title is President and has the following contact phone number (303) 973-8482.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 10/25/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic SupplierNo
3229N00000XAnaplastologistYes

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
108835233MEDICAIDCOLORADO
238534363MEDICAIDCOLORADO
3119976501MEDICAIDWYOMING

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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