Provider Demographics
NPI:1821191628
Name:CHRISTOPHER UNREIN DO PC
Entity Type:Organization
Organization Name:CHRISTOPHER UNREIN DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:UNREIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO FACP CMD
Authorized Official - Phone:720-529-1919
Mailing Address - Street 1:1978 S GARRISON ST
Mailing Address - Street 2:101
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-2282
Mailing Address - Country:US
Mailing Address - Phone:720-529-1919
Mailing Address - Fax:720-482-1387
Practice Address - Street 1:1297 S PERRY ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1977
Practice Address - Country:US
Practice Address - Phone:720-529-1919
Practice Address - Fax:720-482-1387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC800925Medicare PIN