Healthcare Provider Details

I. General information

NPI: 1588690630
Provider Name (Legal Business Name): PATRICIA SINOWAY MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 2ND AVE., SUITE 101 PO BOX 1086
NIWOT CO
80503
US

IV. Provider business mailing address

PO BOX 1086
NIWOT CO
80544-1086
US

V. Phone/Fax

Practice location:
  • Phone: 303-652-9222
  • Fax: 303-652-9222
Mailing address:
  • Phone: 303-652-9222
  • Fax: 303-652-9333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number39227
License Number StateCO

VIII. Authorized Official

Name: PATRICIA A SINOWAY
Title or Position: OWNER DERMATOLOGIST
Credential: MD
Phone: 303-652-9222