Provider Demographics
NPI:1912045329
Name:WILLIAM H SCHUH MD PROF LLC
Entity Type:Organization
Organization Name:WILLIAM H SCHUH MD PROF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT MD
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHUH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-798-3467
Mailing Address - Street 1:PO BOX 22045
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-0045
Mailing Address - Country:US
Mailing Address - Phone:303-758-0582
Mailing Address - Fax:303-753-6636
Practice Address - Street 1:3773 CHERRY CREEK DRIVE NORTH
Practice Address - Street 2:SUITE 1015
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209
Practice Address - Country:US
Practice Address - Phone:303-798-3467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38861174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO807927Medicare PIN