Provider Demographics
NPI:1841560836
Name:CHRISTINA BAMMES MD, ADULT PSYCHIATRY, A PROFESSIONAL LLC
Entity Type:Organization
Organization Name:CHRISTINA BAMMES MD, ADULT PSYCHIATRY, A PROFESSIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAMMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-504-6565
Mailing Address - Street 1:PO BOX 1272
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-1272
Mailing Address - Country:US
Mailing Address - Phone:303-504-6565
Mailing Address - Fax:303-321-1040
Practice Address - Street 1:4141 E DICKENSON PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6012
Practice Address - Country:US
Practice Address - Phone:303-504-6565
Practice Address - Fax:303-321-1040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO308922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty