| C9 Corp | |
|
125 Inverness Dr E Ste 320 Englewood CO 80112-5139 | |
| (720) 468-3306 | |
| Not Available |
| Full Name | C9 Corp |
|---|---|
| Speciality | General Practice |
| Location | 125 Inverness Dr E Ste 320, Englewood, Colorado |
| Authorized Official Name and Position | Andrew V Forcina (PRESIDENT) |
| Authorized Official Contact | 7204683306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C9 Corp 125 Inverness Dr E Ste 320 Englewood CO 80112-5139 Ph: (720) 468-3306 | C9 Corp 125 Inverness Dr E Ste 320 Englewood CO 80112-5139 Ph: (720) 468-3306 |
| NPI Number | 1972270254 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Medicare PECOS PAC ID | 3173921087 |
|---|---|
| Medicare Enrollment ID | O20211007000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972270254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Chandra Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689221459 PECOS PAC ID: 6709211337 Enrollment ID: I20200108002529 |
| Provider Name | Paul D Burns |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255422283 PECOS PAC ID: 3072921709 Enrollment ID: I20210420000008 |
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