Healthcare Provider Details

I. General information

NPI: 1659668283
Provider Name (Legal Business Name): CHRISTINE K FELTMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2011
Last Update Date: 07/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14451 ORCHARD PKWY T-2197
WESTMINSTER CO
80023-9174
US

IV. Provider business mailing address

14451 ORCHARD PKWY T-2197
WESTMINSTER CO
80023-9174
US

V. Phone/Fax

Practice location:
  • Phone: 303-209-0164
  • Fax: 303-209-0164
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17123
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: