Healthcare Provider Details

I. General information

NPI: 1346422045
Provider Name (Legal Business Name): DEVIN DEAN CARWIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5970 GREENWOOD PLAZA BLVD STE 210
GREENWOOD VILLAGE CO
80111-4709
US

IV. Provider business mailing address

8611 W UTE DR
LITTLETON CO
80128-6971
US

V. Phone/Fax

Practice location:
  • Phone: 720-385-3700
  • Fax:
Mailing address:
  • Phone: 970-396-6637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number409
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: