Healthcare Provider Details

I. General information

NPI: 1730706425
Provider Name (Legal Business Name): ALEXANDER DANIEL SHINN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2020
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 E HARMONY RD UNIT 100
FORT COLLINS CO
80528-3401
US

IV. Provider business mailing address

2121 E HARMONY RD UNIT 100
FORT COLLINS CO
80528-3401
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-1000
  • Fax: 970-297-6886
Mailing address:
  • Phone: 970-221-1000
  • Fax: 970-297-6886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0077029
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2024043617
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: