Provider Demographics
NPI:1528167640
Name:HEALTHONE CLINIC SERVICES LLC
Entity type:Organization
Organization Name:HEALTHONE CLINIC SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-584-8231
Mailing Address - Street 1:10450 PARK MEADOWS DR
Mailing Address - Street 2:#202
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5529
Mailing Address - Country:US
Mailing Address - Phone:303-788-4000
Mailing Address - Fax:303-708-9992
Practice Address - Street 1:10450 PARK MEADOWS DR
Practice Address - Street 2:#202
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5529
Practice Address - Country:US
Practice Address - Phone:303-788-4000
Practice Address - Fax:303-708-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty