Provider Demographics
NPI:1770390411
Name:APRIL D CHRISTOPHERSON OTR L LLC
Entity type:Organization
Organization Name:APRIL D CHRISTOPHERSON OTR L LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHRISTOPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:970-975-1362
Mailing Address - Street 1:457 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-1816
Mailing Address - Country:US
Mailing Address - Phone:970-975-1362
Mailing Address - Fax:970-639-4480
Practice Address - Street 1:457 MAIN ST
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-1816
Practice Address - Country:US
Practice Address - Phone:970-975-1362
Practice Address - Fax:970-639-4480
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELTA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851416994OtherNPI
1376397596OtherNPI
1427525161OtherNPI
1659000552OtherNPI