Provider Demographics
NPI:1215922646
Name:BIRNEY, JANICE L (MD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:L
Last Name:BIRNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6169 SOUTH BALSAM WAY
Mailing Address - Street 2:SUITE 380
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123
Mailing Address - Country:US
Mailing Address - Phone:303-933-9050
Mailing Address - Fax:303-973-5616
Practice Address - Street 1:6169 SOUTH BALSAM WAY
Practice Address - Street 2:SUITE 380
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123
Practice Address - Country:US
Practice Address - Phone:303-933-9050
Practice Address - Fax:303-973-5616
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO24178207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D24401Medicare UPIN
COPROVIDER9631Medicare PIN