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Contact Information

BOULDER VALLEY NEUROLOGY P C
183 S TAYLOR AVE UNIT 160
LOUISVILLE, CO80027-3150
 Phone: 303-926-1015
 Fax: 303-926-1032
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BOULDER VALLEY NEUROLOGY P C · (Female)

NPI # 1457493660
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2007
Last updated 10/02/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 42528
  • CO Medicaid 21333858
  • CO Other DF8108 RAIL ROAD MEDICARE
Hospital affiliation(s) Not Available
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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