Basic Information
| Provider Information | |||||||||
| NPI: | 1780057109 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHOATE | ||||||||
| FirstName: | BRITTYN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1010 3RD ST | ||||||||
| Address2: | |||||||||
| City: | WINDSOR | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805505700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9706903600 | ||||||||
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| Practice Location | |||||||||
| Address1: | 13609 CALIFORNIA ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681545260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4028911118 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2015 | ||||||||
| LastUpdateDate: | 11/06/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | A4357 | MD | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 208100000X | 0013672 | CO | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.