Healthcare Provider Details

I. General information

NPI: 1225513708
Provider Name (Legal Business Name): A STEP AHEAD FOOT AND ANKLE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2018
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 PROSPECT AVE STE F
ESTES PARK CO
80517-6312
US

IV. Provider business mailing address

2001 S SHIELDS ST STE F
FORT COLLINS CO
80526-1833
US

V. Phone/Fax

Practice location:
  • Phone: 970-667-0769
  • Fax:
Mailing address:
  • Phone: 970-493-4660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ROBERT C SCHULTE
Title or Position: OWNER
Credential: DPM
Phone: 970-493-4660