Healthcare Provider Details

I. General information

NPI: 1508883166
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL SACHELI PA-C, MPAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 GARDEN OF THE GODS RD STE 120
COLORADO SPRINGS CO
80907-3416
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 719-329-1000
  • Fax: 719-598-0807
Mailing address:
  • Phone: 970-624-4036
  • Fax: 970-490-4378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1071717
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0004233
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: