Provider Demographics
NPI:1619437191
Name:VITALITY AT MILE HIGH LLC
Entity Type:Organization
Organization Name:VITALITY AT MILE HIGH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:SCHINDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-936-0022
Mailing Address - Street 1:7444 W ALASKA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3331
Mailing Address - Country:US
Mailing Address - Phone:303-936-0022
Mailing Address - Fax:303-936-5262
Practice Address - Street 1:7444 W ALASKA DR STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3331
Practice Address - Country:US
Practice Address - Phone:303-936-0022
Practice Address - Fax:303-936-5262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICHAEL A. SCHINDEL MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-21
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty