Provider Demographics
NPI:1437240165
Name:WESTERN PAIN CONSULTANTS
Entity Type:Organization
Organization Name:WESTERN PAIN CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-487-0932
Mailing Address - Street 1:PO BOX 6368
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-0007
Mailing Address - Country:US
Mailing Address - Phone:303-487-0932
Mailing Address - Fax:303-487-0934
Practice Address - Street 1:10835 DOVER ST STE 800
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-5548
Practice Address - Country:US
Practice Address - Phone:303-487-0932
Practice Address - Fax:303-487-0934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO31118207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COF67232Medicare UPIN