Clancey Comisky
Individual provider Active NPI Home Modifications Contractor · Dolores, CO
NPI 1255878385 · NPPES record last updated Jan 26, 2017
Key facts
- NPI
- 1255878385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Modifications Contractor 171WH0202X
- Practice address
- 24277 Road U
Dolores, CO 81323-9133 - Phone
- (970) 620-0127
- NPI assigned
- Jan 26, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Yes |
Addresses
Primary practice location
24277 Road U
Dolores, CO 81323-9133
Mailing address
24277 Road U
Dolores, CO 81323-9133
Phone (970) 620-0127
Other providers in Dolores, CO
- Breitenbach Chiropractic PLLC
- Eric Joseph Breitenbach
- William Glenn Breitenbach
- Allan Scott Burnside
- Marilyn Cieszykowski
- Jordan Ami Dalton
- Dolores Medical Center
- Dolores Medical Center PC
- Dolores River Remodel, LLC
- Dolores School District Re-4a
All providers in Dolores, CO · Home Modifications Contractor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.