COLORADO PROVIDER NETWORK LLC; NPI #1114602596

Contact Information

COLORADO PROVIDER NETWORK LLC

1435 GARRISON ST STE 110
LAKEWOOD, CO 80215-4748

Phone: 720-241-3765
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Medicine	207QA0505X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for COLORADO PROVIDER NETWORK LLC

NPI Number	`1114602596`
LBN Legal business name	COLORADO PROVIDER NETWORK LLC
Authorized official	JOHN MARQUEZ - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/21/2023
Last updated	06/21/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COLORADO PROVIDER NETWORK LLC

Contact Information

Specialty

Adult Medicine

NPI Profile & details for COLORADO PROVIDER NETWORK LLC

Reviews for COLORADO PROVIDER NETWORK LLC