Scott Blunk Lac LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

568 Issued in CO

Legal business name

SCOTT BLUNK LAC LLC

Practice address

2601 S Lemay Ave
Suite 25
Fort Collins, CO 80525-2295

Phone

(970) 223-4422

Fax

(970) 223-9994

NPI assigned

Jun 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott Stewart Blunk, L.AC.

Title

President

Phone

(970) 223-4422

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1245492248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S LEMAY AVE",
            "address_2": "SUITE 25",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252295",
            "telephone_number": "970-223-4422",
            "fax_number": "970-223-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S LEMAY AVE",
            "address_2": "SUITE 25",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252295",
            "telephone_number": "970-223-4422",
            "fax_number": "970-223-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT BLUNK LAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BLUNK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-223-4422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D Scofield
• Terry J Scofield, P.A.
• Aileen Michelle Scoggins
• Lynissa Scoggins
• Scott a. Haugen, O.D.
• Scott Chiropractic Fort Collins P.C.
• Scott D Wylie, Psy.D., MSCP, LLC
• Scott McNairy DDS PLLC
• Desirea Scott-Moore, DDS
• Brandi L Scott

• Medical Specialty Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.