| Ewa Ostoja Llc | |
|
149 W Harvard St Ste 202 Fort Collins CO 80525-2186 | |
| (970) 214-5574 | |
| (970) 797-1079 |
| Full Name | Ewa Ostoja Llc |
|---|---|
| Speciality | Psychologist |
| Location | 149 W Harvard St Ste 202, Fort Collins, Colorado |
| Authorized Official Name and Position | Ewa Ostoja-starzewska (MANAGING MEMBER) |
| Authorized Official Contact | 9702145574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ewa Ostoja Llc 2424 Pine Needle Ct Fort Collins CO 80528-8585 Ph: (979) 214-5574 | Ewa Ostoja Llc 149 W Harvard St Ste 202 Fort Collins CO 80525-2186 Ph: (970) 214-5574 |
| NPI Number | 1316582091 |
|---|---|
| Provider Enumeration Date | 11/17/2019 |
| Last Update Date | 11/17/2019 |
| Medicare PECOS PAC ID | 9638505936 |
|---|---|
| Medicare Enrollment ID | O20200205000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316582091 | NPI | - | NPPES |
| 1144383605 | Other | CO | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ewa Ostoja-starzewska |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144383605 PECOS PAC ID: 0244284032 Enrollment ID: I20050303001091 |
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