Provider Demographics
NPI:1346679826
Name:MICHAEL A. AMENT, M.D., PLLC
Entity Type:Organization
Organization Name:MICHAEL A. AMENT, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMENT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-280-4499
Mailing Address - Street 1:4622 W MONCRIEFF PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-1604
Mailing Address - Country:US
Mailing Address - Phone:720-280-4499
Mailing Address - Fax:
Practice Address - Street 1:4622 W MONCRIEFF PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-1604
Practice Address - Country:US
Practice Address - Phone:720-280-4499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty