Healthcare Provider Details
I. General information
NPI: 1447231709
Provider Name (Legal Business Name): HEALTHONE CLINIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2005
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14000 E ARAPAHOE RD #160
CENTENNIAL CO
80112-4046
US
IV. Provider business mailing address
720 S COLORADO BLVD SUITE 220A
GLENDALE CO
80246-1912
US
V. Phone/Fax
- Phone: 303-218-4260
- Fax: 303-218-4249
- Phone: 303-584-8231
- Fax: 303-584-8141
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
WILLIAM
KING
Title or Position: CEO
Credential:
Phone: 303-584-8000