Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 21275 | NE |
Y | 207RC0000X | Internist - Cardiovascular Disease | 38056 | CO |
N | 207RC0000X | Internist - Cardiovascular Disease | 6282A | WY |
NPI | 1013913482 |
---|---|
Provider Name | Dr. Stephen A Treat |
First Address | Fort Collins, CO 80528-3401 |
Second Address | Fort Collins, CO 80528-3401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 02/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
114490100 | (05) | WY |
81005369 | (05) | CO |
F99827 | (02) | |
P00970436 | MEDICARE RAILROAD (01) | CO |