Healthcare Provider Details

I. General information

NPI: 1316152259
Provider Name (Legal Business Name): CHIEF SURGICAL ASSISTING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 11/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MACLEAN DR
LITTLETON CO
80123-6509
US

IV. Provider business mailing address

PO BOX 1288
CROSBY TX
77532-1288
US

V. Phone/Fax

Practice location:
  • Phone: 303-805-0865
  • Fax: 720-851-0393
Mailing address:
  • Phone: 303-805-0865
  • Fax: 720-851-0393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number116923
License Number StateCO

VIII. Authorized Official

Name: MR. ROBERT C GRIFFIN
Title or Position: PRESIDENT
Credential: RNFA
Phone: 303-805-0865