Alonzo Childers
Otolaryngologist (ENT Doctor)
3820 N Grant Ave
Loveland
, Colorado 80538-8412
Alonzo Childers
Otolaryngologist (ENT Doctor)
3820 N Grant Ave
Loveland
, Colorado 80538-8412
(970) 416-1969
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Alonzo Childers
- 1120 E Elizabeth St F-101
- Fort Collins, CO
- Zip : 80524-4044
- Fax : (970) 416-1969
- Phone : (970) 221-1177
Second Address
- Alonzo Childers
- 3820 N Grant Ave
- Loveland, CO
- Zip : 80538-8412
- Fax : (970) 593-0470
- Phone : (970) 593-1177
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 21678 | CO |
National Provider Identifier
| NPI | 1033182811 |
|---|---|
| Provider Name | Alonzo Childers |
| First Address | Fort Collins, CO 80524-4044 |
| Second Address | Loveland, CO 80538-8412 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01216787 | (05) | CO |
| D23972 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.