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Contact Information

ALTITUDE FOOT & ANKLE CENTER
1138 OLYMPIA AVE
UNIT B
LONGMONT, CO80504-2382
 Phone: 419-788-2396
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALTITUDE FOOT ANKLE CENTER · (Female)

NPI Number 1104262922
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2013
Last updated 05/20/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 673
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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