Provider Demographics
NPI:1225360902
Name:FRONTIER NEUROLOGY AND NEUROMUSCULAR CLINIC PLLC
Entity Type:Organization
Organization Name:FRONTIER NEUROLOGY AND NEUROMUSCULAR CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATALIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:POCSINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-424-0559
Mailing Address - Street 1:4251 KIPLING ST UNIT 220
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2897
Mailing Address - Country:US
Mailing Address - Phone:303-424-0559
Mailing Address - Fax:303-424-0205
Practice Address - Street 1:4251 KIPLING ST UNIT 220
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2897
Practice Address - Country:US
Practice Address - Phone:303-424-0559
Practice Address - Fax:303-424-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO456842084N0008X, 2084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular MedicineGroup - Multi-Specialty
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO58439773Medicaid
COCOB5054Medicare PIN