Allport, Timothy
Allport, Timothy is an individual health care provider with primary practice located at 100 East South Boulder Road Suite 105, Lafayette CO 80026. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Allport, Timothy can be contacted via phone (303) 665-7037.Contact Information
Primary practice address
100 East South Boulder Road Suite 105
Lafayette CO 80026
Phone: (303) 665-7037
Fax: (720) 890-7111
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Colorado | |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3791 | Colorado |
Profile Details
NPI number | 1104255538 |
---|---|
LBN Legal business name | Allport, Timothy |
Credentials | CAC III |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 6th, 2013 |
Last updated | Nov 6th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104255538 | NPPES |
Colorado | MEDICAID | 80776230 |
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