Sachtleben, Thomas R

Sachtleben, Thomas R is an individual health care provider with primary practice located at 2500 E Prospect Rd , Fort Collins CO 80525-9718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Sachtleben, Thomas R can be contacted via phone (970) 493-0112.

Contact Information

Primary practice address
2500 E Prospect Rd Fort Collins CO 80525-9718
Phone: (970) 493-0112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X DR.0036373 Colorado

Profile Details

NPI number 1336195601
LBN Legal business name Sachtleben, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Dec 16th, 2019 - about 5 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 1336195601 NPPES
Colorado Other P00621706 RR MEDICARE
Colorado MEDICAID 87501856 RR MEDICARE

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