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Contact Information

ILENE M SPECTOR, DO
277A BLACKSTOCK DR.
CRESTED BUTTE, CO81224
 Phone: 970-349-2095
 Fax: 970-349-2095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ILENE M SPECTOR · (Female)

NPI Number 1477643799
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/15/2006
Last updated 01/26/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 2588
  • CO License # 41577
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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