Provider Demographics
NPI:1104809383
Name:SEELEY, JANET K (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:K
Last Name:SEELEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4209
Mailing Address - Country:US
Mailing Address - Phone:970-663-0135
Mailing Address - Fax:970-461-1422
Practice Address - Street 1:2001 S SHIELDS ST
Practice Address - Street 2:BLDG H
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1827
Practice Address - Country:US
Practice Address - Phone:970-498-9226
Practice Address - Fax:970-498-9030
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO29965207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01399650Medicaid
CO01299650Medicaid
COSEA1028OtherANTHEM BCBS
NE$$$$$$$$$Medicaid
NE$$$$$$$$$Medicaid
COE52272Medicare UPIN