Provider Demographics
NPI:1689746380
Name:HEALTHONE CLINIC SERVICES LLC
Entity Type:Organization
Organization Name:HEALTHONE CLINIC SERVICES LLC
Other - Org Name:CENTER FOR MEDICAL PAIN MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-584-8231
Mailing Address - Street 1:750 W HAMPDEN AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2165
Mailing Address - Country:US
Mailing Address - Phone:303-584-8231
Mailing Address - Fax:866-210-0907
Practice Address - Street 1:1721 E 19TH AVE
Practice Address - Street 2:SUITE 454
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1251
Practice Address - Country:US
Practice Address - Phone:303-584-8125
Practice Address - Fax:303-584-8141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty