Provider Demographics
NPI:1669630208
Name:INTRANERVE LLC
Entity Type:Organization
Organization Name:INTRANERVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POPELAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-622-7440
Mailing Address - Street 1:13 S. TEJON ST.
Mailing Address - Street 2:SUITE 501
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1530
Mailing Address - Country:US
Mailing Address - Phone:719-622-7440
Mailing Address - Fax:
Practice Address - Street 1:13 S. TEJON ST.
Practice Address - Street 2:SUITE 501
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1530
Practice Address - Country:US
Practice Address - Phone:719-622-7440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty