Provider Demographics
NPI:1497899793
Name:FORT COLLINS NEUROLOGY PC
Entity Type:Organization
Organization Name:FORT COLLINS NEUROLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:CURIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-221-1993
Mailing Address - Street 1:2121 E HARMONY RD # 270
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-3402
Mailing Address - Country:US
Mailing Address - Phone:970-221-1993
Mailing Address - Fax:970-221-9170
Practice Address - Street 1:2121 E HARMONY RD # 270
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-3402
Practice Address - Country:US
Practice Address - Phone:970-221-1993
Practice Address - Fax:970-221-9170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY118013400OtherMEDICAID
COCK4370OtherRAILROAD MEDICARE
CO46186239Medicaid
WY118013400OtherMEDICAID
COC486918Medicare ID - Type Unspecified