Provider Demographics
NPI:1285267336
Name:ABNF HOLDING CO PLLC
Entity type:Organization
Organization Name:ABNF HOLDING CO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-343-2709
Mailing Address - Street 1:138 WOODCHUCK CT
Mailing Address - Street 2:
Mailing Address - City:SILVERTHORNE
Mailing Address - State:CO
Mailing Address - Zip Code:80498-9203
Mailing Address - Country:US
Mailing Address - Phone:415-259-7876
Mailing Address - Fax:
Practice Address - Street 1:101 W MAIN ST SUITE 301
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-8049
Practice Address - Country:US
Practice Address - Phone:970-343-2709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty