Dallow, Kurt T

Dallow, Kurt T is an individual health care provider with primary practice located at 2500 E Prospect Rd , Fort Collins CO 80525-9718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dallow, Kurt T 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 DR25057 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR25057 Colorado

Profile Details

NPI number 1376528851
LBN Legal business name Dallow, Kurt T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Dec 16th, 2019 - 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 1376528851 NPPES
Colorado MEDICAID 01250570
Colorado Other P01645447

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