Provider Demographics
NPI:1336926476
Name:PASWATERS CONSTRUCTION INC
Entity Type:Organization
Organization Name:PASWATERS CONSTRUCTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:WARNER FREDRICK
Authorized Official - Last Name:PASWATERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-875-2748
Mailing Address - Street 1:11438 COUNTY ROAD 19
Mailing Address - Street 2:
Mailing Address - City:FORT LUPTON
Mailing Address - State:CO
Mailing Address - Zip Code:80621-9706
Mailing Address - Country:US
Mailing Address - Phone:720-400-2951
Mailing Address - Fax:
Practice Address - Street 1:11438 COUNTY ROAD 19
Practice Address - Street 2:
Practice Address - City:FORT LUPTON
Practice Address - State:CO
Practice Address - Zip Code:80621-9706
Practice Address - Country:US
Practice Address - Phone:720-400-2951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty