Boulder Headache And Pain Pllc
LBN: Boulder Headache And Pain Pllc
Boulder Headache And Pain Pllc is an health care organization with primary practice located at 5377 Manhattan Cir Ste 200 , Boulder CO 80303-4345. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is the primary health care specialty.
Boulder Headache And Pain Pllc can be contacted via phone (303) 225-6625, or through Reish, Alex G via phone (303) 225-6625.
Contact Information
Primary practice address
5377 Manhattan Cir Ste 200
Boulder CO 80303-4345
Phone: (303) 225-6625
Fax: (303) 225-6626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 46517 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 46517 | Colorado |
Profile Details
| NPI number | 1114432903 |
|---|---|
| LBN Legal business name | Boulder Headache And Pain Pllc |
| DBA Doing business as | |
| Authorized official | Reish, Alex G Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2017 |
| Last updated | Sep 19th, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114432903 | NPPES |
| Colorado | MEDICAID | 62451383 |
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