Provider Demographics
NPI:1184207219
Name:BUCHBINDER, ROSE
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:BUCHBINDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1091 E BAYAUD AVE APT 701
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2776
Mailing Address - Country:US
Mailing Address - Phone:561-699-7875
Mailing Address - Fax:
Practice Address - Street 1:9141 GRANT ST STE 240
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4318
Practice Address - Country:US
Practice Address - Phone:303-920-1015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO981231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO981Medicaid