MEDICARE: NEURO CARE SPECIALISTS

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
1	2084N0600X	Clinical Neurophysiology Physician

General Provider Information

NPI Number	:	1730719071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO CARE SPECIALISTS

Provider Business Mailing Address
First Line	:	PO BOX 40856
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-0856
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5160 VALLEJO ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-1366
Country	:	US
Telephone Number	:	970-581-8700
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	NICOLA DONNER
Credential	:
Telephone Number	:	970-581-8700

Provider Enumeration Date	:	01/24/2020
Last Update Date	:	09/08/2022

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Directions to “NEURO CARE SPECIALISTS ” Practice Location

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