Healthcare Provider Details
I. General information
NPI: 1194850693
Provider Name (Legal Business Name): ALPINE WOMENS HEALTHCARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
499 E HAMPDEN AVE SUITE 350
ENGLEWOOD CO
80113-2780
US
IV. Provider business mailing address
499 E HAMPDEN AVE SUITE 350
ENGLEWOOD CO
80113-2780
US
V. Phone/Fax
- Phone: 303-744-3477
- Fax: 303-733-5848
- Phone: 303-744-3477
- Fax: 303-733-5848
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SHEILA
K
EAKIN
Title or Position: OFFICE MANAGER
Credential:
Phone: 303-744-3477