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COLORADO INSTITUTE FOR NEUROMUSCULAR AND NEUROLOGICAL DISORDERS PLLC NPI 1790847705


NPI Information

NPI: 1790847705
Provider Name: COLORADO INSTITUTE FOR NEUROMUSCULAR AND NEUROLOGICAL DISORDERS, PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
600 S AIRPORT RD
SUITE E, BLDG. B
LONGMONT, CO
ZIP 80503
Phone: (720) 491-3322
Get Directions

COLORADO INSTITUTE FOR NEUROMUSCULAR AND NEUROLOGICAL DISORDERS, PLLC is a neurology psychiatry neurology in Longmont, 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. COLORADO INSTITUTE FOR NEUROMUSCULAR AND NEUROLOGICAL DISORDERS, PLLC NPI is 1790847705. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 S AIRPORT RD
SUITE E, BLDG. B
LONGMONT, CO
ZIP 80503-424
Phone: (720) 491-3322
Fax: (720) 684-6715

The provider's authorized official is Pierre V Pavot .
The authorized official title is Owner and has the following contact phone number (303) 485-3535.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 1/13/2015.


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 & NeurologyNeurology41261COLORADOYes

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
1803716MEDICARE ID-TYPE UNSPECIFIEDCOLORADO
2H39024MEDICARE UPINCOLORADO
302306719MEDICAIDCOLORADO

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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