Provider Demographics
NPI:1306155957
Name:BIRCHEM, CHRISTINE ANN (PHYSICAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:BIRCHEM
Suffix:
Gender:F
Credentials:PHYSICAN ASSISTANT
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ANN
Other - Last Name:MUENZENBERGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHYSICIAN ASSISTANT
Mailing Address - Street 1:11700 W 2ND PL
Mailing Address - Street 2:SUITE 280
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1704
Mailing Address - Country:US
Mailing Address - Phone:720-321-8680
Mailing Address - Fax:720-321-8681
Practice Address - Street 1:11700 W 2ND PL
Practice Address - Street 2:SUITE 280
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1704
Practice Address - Country:US
Practice Address - Phone:720-321-8680
Practice Address - Fax:720-321-8681
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-01392363AS0400X
COPA.0004367363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical