Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 31578 | CO |
NPI | 1043256613 |
---|---|
Provider Name | Dr. Hans Carl Coester |
First Address | Fort Collins, CO 80524-3960 |
Second Address | Fort Collins, CO 80524-3960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 19/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01315787 | (05) | CO |
F27437 | (02) | CO |
P00977669 | RAILROAD MEDICARE (01) | CO |