Provider Demographics
NPI:1841375987
Name:ADVANTAGE ENT, LLP
Entity type:Organization
Organization Name:ADVANTAGE ENT, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ZEAPHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-431-8881
Mailing Address - Street 1:7850 VANCE DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2118
Mailing Address - Country:US
Mailing Address - Phone:303-431-8881
Mailing Address - Fax:303-431-8564
Practice Address - Street 1:7850 VANCE DR
Practice Address - Street 2:SUITE 225
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2118
Practice Address - Country:US
Practice Address - Phone:303-431-8881
Practice Address - Fax:303-431-8564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCF8286OtherRAILROAD MEDICARE GROUP
CO04008389Medicaid
CO04008389Medicaid