Provider Demographics
NPI:1396221214
Name:HOLMES, CHRIS JEFFREY (HEARING AID PROVIDER)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:JEFFREY
Last Name:HOLMES
Suffix:
Gender:M
Credentials:HEARING AID PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-3440
Mailing Address - Country:US
Mailing Address - Phone:303-872-7302
Mailing Address - Fax:
Practice Address - Street 1:1200 MADISON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-3440
Practice Address - Country:US
Practice Address - Phone:303-872-7302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000362237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist