Provider Demographics
NPI:1740474931
Name:HELGESON, HEIDI E (MD)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:E
Last Name:HELGESON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:0310C COUNTY ROAD 14
Mailing Address - Street 2:
Mailing Address - City:DEL NORTE
Mailing Address - State:CO
Mailing Address - Zip Code:81132-8719
Mailing Address - Country:US
Mailing Address - Phone:719-657-2418
Mailing Address - Fax:719-657-3317
Practice Address - Street 1:0310 COUNTY ROAD 14
Practice Address - Street 2:
Practice Address - City:DEL NORTE
Practice Address - State:CO
Practice Address - Zip Code:81132-8719
Practice Address - Country:US
Practice Address - Phone:719-657-2510
Practice Address - Fax:719-657-4106
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2010-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO45958207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO841276376028OtherROCKY MOUNTAIN HEALTH PLANS
CO12279757Medicaid
CO12279757Medicaid