Provider Demographics
NPI:1700873841
Name:HEALTHY PRACTICES
Entity Type:Organization
Organization Name:HEALTHY PRACTICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARSTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-696-9300
Mailing Address - Street 1:2281 S PEORIA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1193
Mailing Address - Country:US
Mailing Address - Phone:303-696-9300
Mailing Address - Fax:303-696-9281
Practice Address - Street 1:2281 S PEORIA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1193
Practice Address - Country:US
Practice Address - Phone:303-696-9300
Practice Address - Fax:303-696-9281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18765207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO800845Medicare ID - Type Unspecified
D23489Medicare UPIN