Provider Demographics
NPI:1629030473
Name:EINSPAHR, RENAE (LICAC)
Entity Type:Individual
Prefix:
First Name:RENAE
Middle Name:
Last Name:EINSPAHR
Suffix:
Gender:F
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 LOGAN ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4836
Mailing Address - Country:US
Mailing Address - Phone:720-371-0917
Mailing Address - Fax:
Practice Address - Street 1:333 LOGAN ST
Practice Address - Street 2:SUITE 225
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4836
Practice Address - Country:US
Practice Address - Phone:720-371-0917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO705171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist