Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | DR.0051476 | CO |
NPI | 1003918574 |
---|---|
Provider Name | Christopher D Chinn |
First Address | Aurora, CO 80042-0429 |
Second Address | Colorado Springs, CO 80920-7815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2006 |
Last Update Date | 03/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1015710 | (05) | VT |