Provider Demographics
NPI:1023521382
Name:ERIN M WOESSNER, DO, DO HEALTH, PLLC
Entity type:Organization
Organization Name:ERIN M WOESSNER, DO, DO HEALTH, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOESSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:720-644-6312
Mailing Address - Street 1:5976 FLORA WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-3757
Mailing Address - Country:US
Mailing Address - Phone:720-644-6312
Mailing Address - Fax:
Practice Address - Street 1:5976 FLORA WAY
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-3757
Practice Address - Country:US
Practice Address - Phone:720-644-6312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ERIN M WOESSNER, DO, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45662204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty