Provider Demographics
NPI:1811448053
Name:DAVID C FORSCHNER MD PC
Entity type:Organization
Organization Name:DAVID C FORSCHNER MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOEHLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-861-4914
Mailing Address - Street 1:1601 E 19TH AVE
Mailing Address - Street 2:SUITE 4200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1216
Mailing Address - Country:US
Mailing Address - Phone:303-861-4914
Mailing Address - Fax:303-861-8615
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE 4200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-861-4914
Practice Address - Fax:303-861-8615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO34307532Medicaid
CO392608OtherMEDICARE
CO392608Medicare PIN