Provider Demographics
NPI:1962638940
Name:NORTHERN COLORADO SLEEP CONSULTANTS, LLC
Entity Type:Organization
Organization Name:NORTHERN COLORADO SLEEP CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:MOORCROFT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:970-308-4495
Mailing Address - Street 1:4443 VISTA DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-3330
Mailing Address - Country:US
Mailing Address - Phone:970-308-4495
Mailing Address - Fax:970-266-0555
Practice Address - Street 1:4443 VISTA DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-3330
Practice Address - Country:US
Practice Address - Phone:970-308-4495
Practice Address - Fax:970-266-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Single Specialty