National Provider Identifier Database

PEDIATRIC AND ADOLESCENT CENTER
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

PEDIATRIC AND ADOLESCENT CENTER
3400 S ONEIDA WAY
SUITE 101
DENVER, CO80224-2850
Phone: 303-758-0005
Fax: 303-756-8077
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC AND ADOLESCENT CENTER

NPI Number 1235353087
Legal business name
LBN
PEDIATRIC AND ADOLESCENT CENTER
Authorized official PHILIP LEWIS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/12/2007
Last updated 06/25/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 12100
  • CO Medicaid: 99173824

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PEDIATRIC AND ADOLESCENT CENTER

There are currently no reviews for PEDIATRIC AND ADOLESCENT CENTER


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