| Vitality At Mile High Llc | |
|
7444 W Alaska Dr Ste 200 Lakewood CO 80226-3331 | |
| (303) 936-0022 | |
| (303) 936-5262 |
| Full Name | Vitality At Mile High Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7444 W Alaska Dr Ste 200, Lakewood, Colorado |
| Authorized Official Name and Position | Michael Andrew Schindel (PRESIDENT) |
| Authorized Official Contact | 3039360022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality At Mile High Llc 7444 W Alaska Dr Ste 200 Lakewood CO 80226-3331 Ph: (303) 936-0022 | Vitality At Mile High Llc 7444 W Alaska Dr Ste 200 Lakewood CO 80226-3331 Ph: (303) 936-0022 |
| NPI Number | 1619437191 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 12/02/2019 |
| Medicare PECOS PAC ID | 4981036498 |
|---|---|
| Medicare Enrollment ID | O20191120002891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619437191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael A Schindel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881778256 PECOS PAC ID: 9931132610 Enrollment ID: I20050913001324 |
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