Provider Demographics
NPI:1487613972
Name:LING, SHEILA LT (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:LT
Last Name:LING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5450 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2709
Mailing Address - Country:US
Mailing Address - Phone:303-415-3875
Mailing Address - Fax:303-449-3112
Practice Address - Street 1:2575 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-3806
Practice Address - Country:US
Practice Address - Phone:303-415-3875
Practice Address - Fax:303-449-3112
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0033988207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01339886Medicaid
CO01339886Medicaid
COCOA109588Medicare PIN