Provider Demographics
NPI:1265442867
Name:STRAUMANIS, ERIC J (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:STRAUMANIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 HOFFMAN DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4292
Mailing Address - Country:US
Mailing Address - Phone:970-663-3030
Mailing Address - Fax:970-663-3041
Practice Address - Street 1:1762 HOFFMAN DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4292
Practice Address - Country:US
Practice Address - Phone:970-663-3030
Practice Address - Fax:970-663-3041
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO454762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA405598OtherVALUE OPTIONS RAILROAD
IA1199463Medicaid
IA33883OtherWELLMARK
IA260052390OtherRAILROAD MEDICARE
IA234987OtherMIDLANDS CHOICE
IA33883OtherWELLMARK
IAH07616Medicare UPIN