Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 30143 | CO |
N | 111NI0900X | Internist | 30143 | CO |
Y | 207RG0300X | Geriatric Medicine | 30143 | CO |
N | 207RH0002X | Hospice and Palliative Medicine | 30143 | CO |
NPI | 1225033095 |
---|---|
Provider Name | Prof. Christopher J Unrein |
First Address | Golden, CO 80403-7445 |
Second Address | Golden, CO 80403-7445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 10/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01301431 | (05) | CO |
E85533 | (02) |