1447461801 NPI number — CENTER FOR SPINE ARTHROPLASTY

Table of content: DR. CHRISTOPHER JOHN MULLIN MD (NPI 1336383157)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447461801 NPI number — CENTER FOR SPINE ARTHROPLASTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTER FOR SPINE ARTHROPLASTY
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:
AMERICAN SPINE ARTHROPLASTY INC., P.C.
Provider Other Organization Name Type Code:
5
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:
1447461801
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9005 GRANT ST
Provider Second Line Business Mailing Address:
STE 200
Provider Business Mailing Address City Name:
THORNTON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80229-4300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-302-6000
Provider Business Mailing Address Fax Number:
303-287-7357

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9005 GRANT ST
Provider Second Line Business Practice Location Address:
STE 200
Provider Business Practice Location Address City Name:
THORNTON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80229-4300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-302-6000
Provider Business Practice Location Address Fax Number:
303-287-7357
Provider Enumeration Date:
05/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DIETEL
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
F.
Authorized Official Title or Position:
OFFICE ADMINISTRATOR
Authorized Official Telephone Number:
303-287-2800

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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