Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1507 | CO |
NPI | 1538142773 |
---|---|
Provider Name | Dr. Stephen R. Summey |
First Address | Loveland, CO 80537-3223 |
Second Address | Loveland, CO 80537-3223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 09/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08150708 | (05) | CO |
1025400 | AMERICAN SPEICALTY HEALTH (01) | CO |
14783 | (02) | CO |
4227321 | AETNA (01) | CO |
841597753 | CIGNA (01) | CO |
841597753 | SLOANS LAKE (01) | CO |