1326372665 NPI number — VIRGINIA NIGRO CHT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326372665 NPI number — VIRGINIA NIGRO CHT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NIGRO
Provider First Name:
VIRGINIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CHT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NIGRO
Provider Other First Name:
GINA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CHT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1326372665
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1450 S HAVANA ST
Provider Second Line Business Mailing Address:
SUITE #712
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80012-4018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-482-5490
Provider Business Mailing Address Fax Number:
303-337-4808

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1450 S HAVANA ST
Provider Second Line Business Practice Location Address:
SUITE #712
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80012-4018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-482-5490
Provider Business Practice Location Address Fax Number:
303-337-4808
Provider Enumeration Date:
09/18/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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