Bethany Engblom in Fort Collins - Family Medicine
Bethany Engblom - NPI 1134383516
Bethany Engblom is a Family Medicine in Fort Collins, Colorado. Bethany Engblom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bethany Engblom is 1134383516. The last update date is 2023-08-11.
Bethany Engblom's current location address is 4856 Innovation Dr Ste B, Fort Collins, Colorado. You can contact this provider via phone number 9704944200 and fax number 9706134475. The mailing address for Bethany Engblom is 4856 Innovation Dr Ste B, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bethany Engblom |
|---|---|
| Address | 4856 Innovation Dr Ste B, Fort Collins, Colorado |
| Phone Number | 9704944200 |
| Fax Number | 9706134475 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1134383516 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2023-08-11 |
Provider Mailing Address Detail
| Address | 4856 Innovation Dr Ste B |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805255540 |
| Phone Number | 9704944200 |
| Fax Number | 9706134475 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 45697 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Bethany Engblom by the Centers for Medicare & Medicaid Services?
The Bethany Engblom has been issued the NPI (National Provider Identifier) 1134383516. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bethany Engblom?
The Bethany Engblom is physically situated at 4856 Innovation Dr Ste B, in the city of Fort Collins, state of CO, with the postal code 805255540.
What is the Bethany Engblom's area of specialization and corresponding taxonomy classification?
The Bethany Engblom's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1134383516 to Bethany Engblom?
The Centers for Medicare & Medicaid Services assigned the 1134383516 to Bethany Engblom on 2008-07-15.
As of what date were the details pertaining to Bethany Engblom last refreshed?
The information related to the Bethany Engblom, including its address, specialty, and other relevant details, was last updated on 2023-08-11.