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Contact Information

JACOB C LIAO ONG, MD
1625 FOXTRAIL DR
SUITE 200
LOVELAND, CO80538-9088
 Phone: 970-490-4209
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JACOB C LIAO ONG · (Male)

NPI # 1700856671
Status Active
Credentials MD
Entity Individual
Enumeration date 01/24/2006
Last updated 05/19/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 37327
  • CO Medicaid 78088577
  • NE Medicaid 10025181600
  • WY Medicaid 120663000
  • CO Other P00162672 MEDICARE RR
Hospital affiliation(s)
  • IVINSON MEMORIAL HOSPITAL - (Acute Care)
    255 N 30TH
    LARAMIE, WY 82072
  • MEDICAL CENTER OF THE ROCKIES - (Acute Care)
    2500 ROCKY MOUNTAIN AVENUE
    LOVELAND, CO 80538
  • POUDRE VALLEY HOSPITAL - (Acute Care)
    1024 S LEMAY AVE
    FORT COLLINS, CO 80524
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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