Boustred, Allister M

Boustred, Allister M is an individual health care provider with primary practice located at 2315 E Harmony Rd Suite 160, Fort Collins CO 80528-8620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Boustred, Allister M can be contacted via phone (970) 493-8800.

Contact Information

Primary practice address
2315 E Harmony Rd Suite 160 Fort Collins CO 80528-8620
Phone: (970) 493-8800
Fax: (970) 498-8800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 45791 Colorado

Profile Details

NPI number 1538125083
LBN Legal business name Boustred, Allister M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jan 23rd, 2009 - about 15 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 1538125083 NPPES
Colorado MEDICAID 87736730

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