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NPI Code Detail

MEDICARE: DR. LOUISE NONE MIDDAUGH P.A.

MEDICARE: DR. LOUISE NONE MIDDAUGH P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor7521205NH
2111N00000XChiropractor001692CT
3363AM0700XMedical Physician Assistant3551CO

General Provider Information

NPI Number : 1346253234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUISE NONE MIDDAUGH P.A.
Provider Business Mailing Address
First Line : 201 KENDALL DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3939
Country : US
Telephone Number : 719-336-0261
Fax Number : 719-336-0265
Provider Business Practice Location Address
First Line : 201 KENDALL DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3939
Country : US
Telephone Number : 719-336-0261
Fax Number : 719-336-0265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 10/08/2012

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