Provider Demographics
NPI:1679866024
Name:COLORADO TINNITUS AND HEARING CENTER, INC.
Entity Type:Organization
Organization Name:COLORADO TINNITUS AND HEARING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:KALMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, FAAA
Authorized Official - Phone:303-534-0163
Mailing Address - Street 1:3601 S CLARKSON ST STE 220
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3946
Mailing Address - Country:US
Mailing Address - Phone:303-534-0163
Mailing Address - Fax:303-534-0179
Practice Address - Street 1:3601 S CLARKSON ST STE 220
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3946
Practice Address - Country:US
Practice Address - Phone:303-534-0163
Practice Address - Fax:303-534-0179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO83231H00000X
CO304231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty