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Contact Information

JUSTIN CHEONGSIATMOY, MD
24 S WEBER ST STE 200
COLORADO SPRINGS, CO80903-1928
 Phone: 424-652-8506
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JUSTIN CHEONGSIATMOY · (Male)

NPI # 1003187808
Status Active
Credentials MD
Entity Individual
Enumeration date 01/25/2012
Last updated 02/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A120867
  • CA Other A120867 MEDICAL LICENSE
Hospital affiliation(s)
  • CRYSTAL CLINIC ORTHOPAEDIC CENTER - (Acute Care)
    444 NORTH MAIN STREET
    AKRON, OH 44310
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
  • MEMORIAL HOSPITAL CENTRAL - (Acute Care)
    1400 E BOULDER ST
    COLORADO SPRINGS, CO 80909
  • MERCY MEDICAL CENTER-DES MOINES - (Acute Care)
    1111 6TH AVE
    DES MOINES, IA 50314
  • PARKVIEW MEDICAL CENTER INC - (Acute Care)
    400 W 16TH STREET
    PUEBLO, CO 81003
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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