1093348815 NPI number — FLATIRON ALLERGY & ASTHMA CENTER

Table of content: MS. TROI LAUREN NICHOLS CD (NPI 1194473991)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093348815 NPI number — FLATIRON ALLERGY & ASTHMA CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLATIRON ALLERGY & ASTHMA CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093348815
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
90 HEALTH PARK DR STE 170
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80027-8702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-862-3303
Provider Business Mailing Address Fax Number:
303-862-3308

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14300 ORCHARD PARKWAY
Provider Second Line Business Practice Location Address:
3RD FLOOR, 2ND POD
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80023-9206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-862-3303
Provider Business Practice Location Address Fax Number:
303-862-3308
Provider Enumeration Date:
02/20/2020

Additional Information

Authorized Official

Authorized Official Last Name:
DAVE
Authorized Official First Name:
SHOBAN
Authorized Official Middle Name:
ARUN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
303-862-3303

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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