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Contact Information

MILE HIGH SPINE AND PAIN CENTER LLC
12061 TEJON ST STE 600
WESTMINSTER, CO80234-2325
 Phone: 303-457-0123
 Fax: 303-252-4065
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Diagnostic Ultrasound

2085U0001X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MILE HIGH SPINE AND PAIN CENTER LLC

NPI Number 1982403143
LBN Legal business name MILE HIGH SPINE AND PAIN CENTER LLC
Authorized official SERENA HETTICK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2025
Last updated 03/11/2025 - More than a year 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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