| Specialty | Taxonomy Code | |
|---|---|---|
| * | Addiction Medicine | 207QA0401X |
| Family Medicine | 207Q00000X |
* Indicates primary specialty
| NPI Number | 1598281875 |
| Legal business name LBN |
FRONT RANGE CLINIC INC. |
| Authorized official | CLARK MCCOY - (PRESIDENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 08/17/2017 |
| Last updated | 02/09/2021 - About 5 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
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.
There are currently no reviews for FRONT RANGE CLINIC INC.