Provider Demographics
NPI:1780803700
Name:HUE N VO
Entity type:Organization
Organization Name:HUE N VO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TEDDI JOLENE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HUTSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:303-935-7870
Mailing Address - Street 1:2200 S FEDERAL BLVD SUITE 1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-5472
Mailing Address - Country:US
Mailing Address - Phone:303-935-7870
Mailing Address - Fax:
Practice Address - Street 1:2200 S FEDERAL BLVD SUITE 1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-5472
Practice Address - Country:US
Practice Address - Phone:303-935-7870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39143207Q00000X
CO30405207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22923756Medicaid
COC447248Medicare PIN