Individual
IAN SEBASTIAN BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19964 HILLTOP RD STE A, PARKER, CO 80134-7316
(303) 841-2212
(303) 841-4716
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4123
(970) 624-2416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35490
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01354901
—
CO
05
—
04020541
—
CO
01
—
080186089
RAILROAD MEDICARE #
CO
01
—
1003895293
NPI #
CO
01
—
1215981634
GROUP NPI #
CO
01
—
276029
CIGNA
CO
01
—
7201056
AETNA
CO
01
—
841365302036
RKY MTN HMO
CO
01
—
84136530238
PACIFICARE
CO
01
—
84136530263
PACIFICARE PPO
CO
01
—
BA645053
ANTHEM BCBS
CO
01
—
RO103008
GROUP ANTHEM BCBS
CO
Enumeration date
01/16/2006
Last updated
01/12/2023
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