1437308335 NPI number — CHRISTOPHER ARTHUR GEORGE MD

Table of content: CHRISTOPHER ARTHUR GEORGE MD (NPI 1437308335)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437308335 NPI number — CHRISTOPHER ARTHUR GEORGE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GEORGE
Provider First Name:
CHRISTOPHER
Provider Middle Name:
ARTHUR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1437308335
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1830 BLAKE AVE
Provider Second Line Business Mailing Address:
STE 206
Provider Business Mailing Address City Name:
GLENWOOD SPRINGS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81601-4275
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-384-7140
Provider Business Mailing Address Fax Number:
970-945-0563

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1830 BLAKE AVE
Provider Second Line Business Practice Location Address:
STE 206
Provider Business Practice Location Address City Name:
GLENWOOD SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81601-4275
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-384-7140
Provider Business Practice Location Address Fax Number:
970-945-0563
Provider Enumeration Date:
09/16/2008

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: 174400000X , with the licence number:  51022 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207X00000X , with the licence number: 51022 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 84079217 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com