Healthcare Provider Details

I. General information

NPI: 1346833167
Provider Name (Legal Business Name): CHER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 05/18/2023
Certification Date: 05/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 BROADWAY ST STE 1134
BOULDER CO
80304-3573
US

IV. Provider business mailing address

8610 EXPLORER DR UNIT 300
COLORADO SPRINGS CO
80920-1036
US

V. Phone/Fax

Practice location:
  • Phone: 303-416-1350
  • Fax: 303-416-1352
Mailing address:
  • Phone: 719-955-4332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW BENSON
Title or Position: CHIEF REVENUE OFFICE
Credential:
Phone: 719-955-4332