Provider Demographics
NPI:1871846246
Name:GLACIER CREEK VETERINARY SERVICES LLC
Entity Type:Organization
Organization Name:GLACIER CREEK VETERINARY SERVICES LLC
Other - Org Name:ANIMAL EMERGENCY & SPECIALTY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:720-842-5050
Mailing Address - Street 1:17701 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3939
Mailing Address - Country:US
Mailing Address - Phone:720-842-5050
Mailing Address - Fax:720-842-5060
Practice Address - Street 1:17701 COTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3939
Practice Address - Country:US
Practice Address - Phone:720-842-5050
Practice Address - Fax:720-842-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital