National Provider Identifier Database

BIG THOMPSON MEDICAL GROUP INC
Multi-Specialty


Contact Information

BIG THOMPSON MEDICAL GROUP INC.
303 COLLAND DR
FORT COLLINS, CO80525-4205
Phone: 970-461-8031
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for BIG THOMPSON MEDICAL GROUP INC.

NPI Number 1093005845
Legal business name
LBN
BIG THOMPSON MEDICAL GROUP INC.
Authorized official DENNIS LARAWAY - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 04/13/2011
Last updated 01/31/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CO Medicaid: 40757820

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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