Provider Demographics
NPI:1457591547
Name:SUNRISE HEALTHCARE P.C
Entity Type:Organization
Organization Name:SUNRISE HEALTHCARE P.C
Other - Org Name:MRI AT FOUR POINTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:N
Authorized Official - Last Name:NWEKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-577-9977
Mailing Address - Street 1:4020 PALMER PARK BLVD
Mailing Address - Street 2:SUITE 101-B
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909
Mailing Address - Country:US
Mailing Address - Phone:719-577-9977
Mailing Address - Fax:719-577-9911
Practice Address - Street 1:4020 PALMER PARK BLVD
Practice Address - Street 2:SUITE 101-B
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909
Practice Address - Country:US
Practice Address - Phone:719-577-9977
Practice Address - Fax:719-577-9911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Multi-Specialty