Healthcare Provider Details

I. General information

NPI: 1427648930
Provider Name (Legal Business Name): CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 ORCHARD PKWY
WESTMINSTER CO
80023-9206
US

IV. Provider business mailing address

PO BOX 17528
DENVER CO
80217-0528
US

V. Phone/Fax

Practice location:
  • Phone: 303-781-4485
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH SMITH
Title or Position: VP/ GENERAL COUNSEL
Credential:
Phone: 303-436-2720