National Provider Identifier Database

ROCKY MOUNTAIN CENTER FOR REPRODUCTIVE MEDICINE PC
Reproductive Endocrinology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.


Contact Information

ROCKY MOUNTAIN CENTER FOR REPRODUCTIVE MEDICINE PC
1080 E ELIZABETH ST
FORT COLLINS, CO80524
Phone: 970-493-6353
Fax: 970-493-6366
Website:
Specialty Taxonomy Code
* Reproductive Endocrinology 207VE0102X

* Indicates primary specialty

NPI Profile & details for ROCKY MOUNTAIN CENTER FOR REPRODUCTIVE MEDICINE PC

NPI Number 1013129642
Legal business name
LBN
ROCKY MOUNTAIN CENTER FOR REPRODUCTIVE MEDICINE PC
Authorized official CARLA BOLDT - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/04/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 27514
  • CO Medicaid: 01275148

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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