Provider Demographics
NPI:1720048481
Name:WEBB, EMILY (DPM)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:Y
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:1927 WILMINGTON DR
Mailing Address - Street 2:UNIT 102
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-6103
Mailing Address - Country:US
Mailing Address - Phone:970-416-9009
Mailing Address - Fax:
Practice Address - Street 1:1927 WILMINGTON DR UNIT 102
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-6103
Practice Address - Country:US
Practice Address - Phone:970-416-9009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO587213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO91785014Medicaid
CO91785014Medicaid
U81730Medicare UPIN