Provider Demographics
NPI:1093836611
Name:PASS, ERIN (LAC, DIPL CH)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:PASS
Suffix:
Gender:F
Credentials:LAC, DIPL CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 ARAPAHOE AVE
Mailing Address - Street 2:SUITE 290
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-6751
Mailing Address - Country:US
Mailing Address - Phone:303-665-5515
Mailing Address - Fax:303-665-5832
Practice Address - Street 1:2500 ARAPAHOE AVE
Practice Address - Street 2:SUITE 290
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-6751
Practice Address - Country:US
Practice Address - Phone:303-665-5515
Practice Address - Fax:303-665-5832
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO839171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist