Provider Demographics
NPI:1811212822
Name:COLORADO SPINE INOVATIONS
Entity Type:Organization
Organization Name:COLORADO SPINE INOVATIONS
Other - Org Name:COREY SALANKEY INTERNATIONAL
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALANKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-969-5735
Mailing Address - Street 1:1940 BLAKE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1297
Mailing Address - Country:US
Mailing Address - Phone:480-969-5735
Mailing Address - Fax:480-969-5742
Practice Address - Street 1:1520 S DOBSON RD
Practice Address - Street 2:SUITE 211
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4725
Practice Address - Country:US
Practice Address - Phone:480-969-5735
Practice Address - Fax:480-969-5742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies