Summit Ketamine, Pc

LBN: Summit Ketamine, Pc
Summit Ketamine, Pc is an health care organization with primary practice located at 19284 Cottonwood Dr Ste 200 , Parker CO 80138-3881. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Summit Ketamine, Pc can be contacted via phone (719) 641-7614, or through Coakley, Sarah Lynn via phone (719) 641-7614.

Contact Information

Primary practice address
19284 Cottonwood Dr Ste 200 Parker CO 80138-3881
Phone: (719) 641-7614
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coakley, Sarah Lynn Doctor of Osteopathy (DO)
Phone: (719) 641-7614

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1912466004
LBN Legal business name Summit Ketamine, Pc
DBA Doing business as
Authorized official Coakley, Sarah Lynn Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2019
Last updated Mar 18th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912466004 NPPES
Other 1578616413 PERSONAL NPI

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