Provider Demographics
NPI:1912956129
Name:BELSHAW, ALLEN T (MD)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:T
Last Name:BELSHAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 CENTRAL PARK DR
Mailing Address - Street 2:STE 200
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487
Mailing Address - Country:US
Mailing Address - Phone:970-870-9240
Mailing Address - Fax:970-879-6510
Practice Address - Street 1:940 CENTRAL PARK DR
Practice Address - Street 2:STE 200
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487
Practice Address - Country:US
Practice Address - Phone:970-870-9240
Practice Address - Fax:970-879-6510
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36936208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01369362Medicaid
COU2638Medicare ID - Type Unspecified
CO01369362Medicaid