Provider Demographics
NPI:1710574579
Name:CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC
Entity Type:Organization
Organization Name:CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/ GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-436-2720
Mailing Address - Street 1:PO BOX 17528
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-0528
Mailing Address - Country:US
Mailing Address - Phone:303-781-4485
Mailing Address - Fax:
Practice Address - Street 1:1400 S POTOMAC ST STE 250
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4541
Practice Address - Country:US
Practice Address - Phone:303-781-4485
Practice Address - Fax:720-274-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty