Provider Demographics
NPI:1699980946
Name:CALL-SANGER, CHRISTINA L (MSPT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:L
Last Name:CALL-SANGER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10645 EDGEMONT CT
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-1839
Mailing Address - Country:US
Mailing Address - Phone:303-778-1131
Mailing Address - Fax:303-778-0809
Practice Address - Street 1:14001 E ILIFF AVE
Practice Address - Street 2:#118
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1405
Practice Address - Country:US
Practice Address - Phone:303-778-0809
Practice Address - Fax:303-778-0809
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6786174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO805182Medicare ID - Type Unspecified