Provider Demographics
NPI:1114994696
Name:CORREN, HOWARD LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:LOUIS
Last Name:CORREN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST STE 210
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3487
Mailing Address - Country:US
Mailing Address - Phone:720-979-0836
Mailing Address - Fax:303-369-1919
Practice Address - Street 1:1400 S POTOMAC ST
Practice Address - Street 2:#190
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4528
Practice Address - Country:US
Practice Address - Phone:720-979-0836
Practice Address - Fax:303-369-1919
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO24193207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01241934Medicaid
CO01241934Medicaid
COCO303678Medicare PIN
COP00769060Medicare PIN
CO2038-1Medicare ID - Type Unspecified