Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 29965 | CO |
NPI | 1104809383 |
---|---|
Provider Name | Janet K Seeley |
First Address | Loveland, CO 80538-4209 |
Second Address | Fort Collins, CO 80526-1827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 20/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01299650 | (05) | CO |
01399650 | (05) | CO |
E52272 | (02) | CO |
SEA1028 | ANTHEM BCBS (01) | CO |