Cmd Professional Provider Network Llc
LBN: Cmd Professional Provider Network Llc
Cmd Professional Provider Network Llc is an health care organization with primary practice located at 7345 S Pierce St Suite 202, Littleton CO 80128-7207. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Cmd Professional Provider Network Llc can be contacted via phone (720) 837-7593, or through Coppin, Leslie via phone (720) 837-7593.
Contact Information
Primary practice address
7345 S Pierce St Suite 202
Littleton CO 80128-7207
Phone: (720) 837-7593
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1184764771 |
|---|---|
| LBN Legal business name | Cmd Professional Provider Network Llc |
| DBA Doing business as | |
| Authorized official | Coppin, Leslie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1184764771 | NPPES |
| Colorado | MEDICAID | 86484079 | |
| Colorado | Other | TIN |
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