Healthcare Provider Details

I. General information

NPI: 1962703942
Provider Name (Legal Business Name): ROBERT M CHANEY R.R.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2010
Last Update Date: 09/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7808 CHERRY CREEK DRIVE SOUTH SUITE 411
DENVER CO
80231
US

IV. Provider business mailing address

10343 RAVENSWOOD WAY
LITTLETON CO
80130-8823
US

V. Phone/Fax

Practice location:
  • Phone: 303-368-4566
  • Fax:
Mailing address:
  • Phone: 303-396-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number442
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: