Astley, Scott Michael

Astley, Scott Michael is an individual health care provider with primary practice located at 2121 E Harmony Rd Suite 370, Fort Collins CO 80528-3400. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Astley, Scott Michael can be contacted via phone (970) 221-2290.

Contact Information

Primary practice address
2121 E Harmony Rd Suite 370 Fort Collins CO 80528-3400
Fax: (970) 221-2293
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2365 Colorado

Profile Details

NPI number 1255482683
LBN Legal business name Astley, Scott Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Mar 8th, 2017 - about 7 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 1255482683 NPPES
Colorado Other P00750757 RR MEDICARE
Colorado MEDICAID 82377774 RR MEDICARE

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