Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5267 | CO |
N | 207R00000X | Internist | 5267 | CO |
N | 111NI0900X | Internist | 5267 | CO |
N | 111NN1001X | Nutrition | 5267 | CO |
NPI | 1093815888 |
---|---|
Provider Name | Dr. Corrie L Pillon |
First Address | Denver, CO 80224-3029 |
Second Address | Denver, CO 80224-3029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 12/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
624007 | ACN (01) | CO |
V05516 | (02) | CO |