ADVANCED NEUROLOGY OF COLORADO LLC NPI 1386365641

NPI Information

NPI: 1386365641
Provider Name: ADVANCED NEUROLOGY OF COLORADO, LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1551 PROFESSIONAL LN UNIT 125
LONGMONT, CO
ZIP 80501
Phone: (970) 226-6111
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ADVANCED NEUROLOGY OF COLORADO, LLC 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. ADVANCED NEUROLOGY OF COLORADO, LLC NPI is 1386365641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1551 PROFESSIONAL LN UNIT 125
LONGMONT, CO
ZIP 80501-971
Phone: (970) 226-6111
Fax: (970) 226-6707

The provider's authorized official is Paul Michael Miller .
The authorized official title is Site Manager and has the following contact phone number (970) 227-6333.

The enumeration date for this NPI number is 9/6/2022 and was last updated on 9/6/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00609048	MEDICAID	COLORADO

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: 5/5/2024

NPI Synchronization or Removal

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