1902978273 NPI number — UNIVERSITY OF DENVER HEALTH AND COUNSELING CENTER

Table of content: MARION B KOUZAN PT (NPI 1396021960)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902978273 NPI number — UNIVERSITY OF DENVER HEALTH AND COUNSELING CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF DENVER HEALTH AND COUNSELING 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:
DU HEALTH AND COUNSELING
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:
1902978273
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2240 E BUCHTEL BLVD
Provider Second Line Business Mailing Address:
RITCHIE CENTER - 3RD FLOOR
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80208-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-871-2205
Provider Business Mailing Address Fax Number:
303-871-4242

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2240 E BUCHTEL BLVD
Provider Second Line Business Practice Location Address:
RITCHIE CENTER - 3RD FLOOR
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80208-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-871-2205
Provider Business Practice Location Address Fax Number:
303-871-4242
Provider Enumeration Date:
11/14/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WERA
Authorized Official First Name:
CHRIS
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF FINANCE AND ADMINISTRAT
Authorized Official Telephone Number:
303-871-7785

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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