Healthcare Provider Details

I. General information

NPI: 1790745800
Provider Name (Legal Business Name): DENVER INJURY EVALUATION & TREATMENT CENTER, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 S COLORADO BLVD STE. B-206
DENVER CO
80222-3303
US

IV. Provider business mailing address

1325 S COLORADO BLVD STE. B-206
DENVER CO
80222-3303
US

V. Phone/Fax

Practice location:
  • Phone: 303-753-6611
  • Fax: 303-753-6067
Mailing address:
  • Phone: 303-753-6611
  • Fax: 303-753-6067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HELEN N. WHITE
Title or Position: ADMINISTRATIVE DIRECTOR
Credential: L.C.S.W.
Phone: 303-753-6611