Provider Demographics
NPI:1841756400
Name:QUARTARO, STEVE
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:QUARTARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9675 GOLDEN EAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5734
Mailing Address - Country:US
Mailing Address - Phone:720-545-5983
Mailing Address - Fax:
Practice Address - Street 1:9675 GOLDEN EAGLE AVE
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-5734
Practice Address - Country:US
Practice Address - Phone:720-545-5983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO921869524343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)