| Summit Headache And Neurologic Institute, Pc | |
|
601 E Hampden Ave Suite 390 Englewood CO 80113-3781 | |
| (720) 336-4300 | |
| (720) 833-9145 |
| Full Name | Summit Headache And Neurologic Institute, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 601 E Hampden Ave, Englewood, Colorado |
| Authorized Official Name and Position | Cori Millen Schnur (PRESIDENT) |
| Authorized Official Contact | 7203364300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Headache And Neurologic Institute, Pc 601 E Hampden Ave Suite 390 Englewood CO 80113-3781 Ph: (720) 336-4300 | Summit Headache And Neurologic Institute, Pc 601 E Hampden Ave Suite 390 Englewood CO 80113-3781 Ph: (720) 336-4300 |
| NPI Number | 1528344942 |
|---|---|
| Provider Enumeration Date | 10/30/2011 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Medicare PECOS PAC ID | 4587831441 |
|---|---|
| Medicare Enrollment ID | O20120117000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528344942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Cori K Millen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245443506 PECOS PAC ID: 9830263219 Enrollment ID: I20091009000097 |
| Provider Name | Ashley Havin Schnackenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518309673 PECOS PAC ID: 6002042207 Enrollment ID: I20161216000224 |
| Provider Name | Dorian Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396233490 PECOS PAC ID: 0446501852 Enrollment ID: I20230601002911 |
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