Roberta L Shanahan in Longmont - General Practice

Roberta L Shanahan - NPI 1871620880

Roberta L Shanahan is a General Practice in Longmont, Colorado. Roberta L Shanahan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Roberta L Shanahan is 1871620880. The last update date is 2007-11-02.

Roberta L Shanahan's current location address is 2345 Bent Way, Longmont, Colorado. You can contact this provider via phone number 3036783243. The mailing address for Roberta L Shanahan is 2345 Bent Way, Longmont, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Roberta L Shanahan
Address 2345 Bent Way, Longmont, Colorado
Phone Number 3036783243
Fax Number
Sole Proprietor N
Credentials PHARM D

NPI Number Detail

NPI Number 1871620880
Provider Enumeration Date 2007-02-27
Last Updated Date 2007-11-02

Provider Mailing Address Detail

Address 2345 Bent Way
City Longmont
State Colorado (CO)
Post Code 805037614
Phone Number 3036783243
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 15986
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13254 KAISER-COMMERCIAL NUMBER

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FAQs about Roberta L Shanahan

What is the unique identification code assigned to Roberta L Shanahan by the Centers for Medicare & Medicaid Services?

The Roberta L Shanahan has been issued the NPI (National Provider Identifier) 1871620880. 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 street address where Roberta L Shanahan is physically located?

The Roberta L Shanahan is physically situated at the following address: 2345 Bent Way, Longmont, CO, 805037614.

What is the Roberta L Shanahan's area of specialization and corresponding taxonomy classification?

The Roberta L Shanahan's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1871620880 to Roberta L Shanahan?

The Centers for Medicare & Medicaid Services assigned the 1871620880 to Roberta L Shanahan on 2007-02-27.

When was the information regarding Roberta L Shanahan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Roberta L Shanahan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-02.

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