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
Fax: (720) 890-7111
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104255538 NPPES
Colorado MEDICAID 80776230

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