Healthcare Provider Details

I. General information

NPI: 1548876295
Provider Name (Legal Business Name): CHELSEA ROTHSCHILD CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2159 VIRGO CIR
LOVELAND CO
80537-3264
US

IV. Provider business mailing address

2159 VIRGO CIR
LOVELAND CO
80537-3264
US

V. Phone/Fax

Practice location:
  • Phone: 316-322-5250
  • Fax:
Mailing address:
  • Phone: 316-322-5250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberALPP-328008
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: