Provider Demographics
NPI:1952474702
Name:HOWARD J. ENTIN M.D.,P.C.
Entity Type:Organization
Organization Name:HOWARD J. ENTIN M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ENTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-721-7330
Mailing Address - Street 1:6081 S QUEBEC ST
Mailing Address - Street 2:#200
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4536
Mailing Address - Country:US
Mailing Address - Phone:303-721-7330
Mailing Address - Fax:720-488-6566
Practice Address - Street 1:6081 S QUEBEC ST
Practice Address - Street 2:#200
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4536
Practice Address - Country:US
Practice Address - Phone:303-721-7330
Practice Address - Fax:720-488-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO#224292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty