Advanced Life Care Medical Group in Niwot - Psychiatry
Advanced Life Care Medical Group - NPI 1093749012
Advanced Life Care Medical Group is a Psychiatry in Niwot, Colorado. Advanced Life Care Medical Group practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Advanced Life Care Medical Group is 1093749012. The last update date is 2011-01-26.
Advanced Life Care Medical Group's current location address is Po Box 819, Niwot, Colorado. You can contact this provider via phone number 3102610035 and fax number 9492086981. The mailing address for Advanced Life Care Medical Group is Po Box 819, Niwot, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Life Care Medical Group |
|---|---|
| Address | Po Box 819, Niwot, Colorado |
| Phone Number | 3102610035 |
| Fax Number | 9492086981 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Zona A Michael |
| Credentials | M.D. |
| Telephone Number | 3102610035 |
NPI Number Detail
| NPI Number | 1093749012 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2011-01-26 |
Provider Mailing Address Detail
| Address | Po Box 819 |
|---|---|
| City | Niwot |
| State | Colorado (CO) |
| Post Code | 805440819 |
| Phone Number | 3102610035 |
| Fax Number | 9492086981 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | G66875 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ48692Z | CA | BLUE SHIELD | |
| CN3641 | CA | RR MEDICARE |
Post Comment/ Review Below
What is the Advanced Life Care Medical Group's 1093749012?
The Advanced Life Care Medical Group's NPI (National Provider Identifier) Number is 1093749012. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Advanced Life Care Medical Group located?
The Advanced Life Care Medical Group is located at Po Box 819, Niwot, CO 805440819.
What is the Advanced Life Care Medical Group's specialty and taxonomy code?
The Advanced Life Care Medical Group's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
When was the Advanced Life Care Medical Group's 1093749012 issued?
The Advanced Life Care Medical Group's 1093749012 was issued on 2006-07-10.
As of what date were the details pertaining to Advanced Life Care Medical Group last refreshed?
The information related to the Advanced Life Care Medical Group, including its address, specialty, and other relevant details, was last updated on 2011-01-26.
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