1902023039 NPI number — DAVID C. FORSCHNER M.D., P.C.

Table of content: (NPI 1902023039)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902023039 NPI number — DAVID C. FORSCHNER M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVID C. FORSCHNER M.D., P.C.
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:
ROCKY MOUNTAIN WOMENS CARE
Provider Other Organization Name Type Code:
3
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:
1902023039
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1601 E 19TH AVE
Provider Second Line Business Mailing Address:
SUITE 4200
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80218-1216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-861-4914
Provider Business Mailing Address Fax Number:
303-861-8615

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1601 E 19TH AVE
Provider Second Line Business Practice Location Address:
SUITE 4200
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80218-1216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-861-4914
Provider Business Practice Location Address Fax Number:
303-861-8615
Provider Enumeration Date:
04/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FORSCHNER
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
C
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
303-861-4914

Provider Taxonomy Codes

  • Taxonomy code: 207VG0400X , with the licence number:  37203 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207VX0000X , with the licence number: 37203 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: BC5399 . This is a "RAILROAD MCR" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 34307532 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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