Provider Demographics
NPI:1568701993
Name:SILVERSTEIN, ABBYE (LAC)
Entity Type:Individual
Prefix:
First Name:ABBYE
Middle Name:
Last Name:SILVERSTEIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5125 S COLLEGE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3959
Mailing Address - Country:US
Mailing Address - Phone:970-484-0013
Mailing Address - Fax:
Practice Address - Street 1:5125 S COLLEGE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3959
Practice Address - Country:US
Practice Address - Phone:970-484-0013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1115171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist