Healthcare Provider Details

I. General information

NPI: 1790817179
Provider Name (Legal Business Name): NETBILL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6238 MAROON MESA DR
COLORADO SPRINGS CO
80918-6113
US

IV. Provider business mailing address

6238 MAROON MESA DR
COLORADO SPRINGS CO
80918-6113
US

V. Phone/Fax

Practice location:
  • Phone: 719-262-0671
  • Fax: 719-262-0775
Mailing address:
  • Phone: 719-262-0671
  • Fax: 719-262-0775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberNA
License Number StateCO

VIII. Authorized Official

Name: VANESSA SPEER
Title or Position: PRESIDENT
Credential:
Phone: 719-262-0671