Provider Demographics
NPI:1811905086
Name:COLORADO ARTHRITIS CENTER
Entity type:Organization
Organization Name:COLORADO ARTHRITIS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:WESTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-788-1312
Mailing Address - Street 1:701 E HAMPDEN AVE
Mailing Address - Street 2:STE 410
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2736
Mailing Address - Country:US
Mailing Address - Phone:303-788-1312
Mailing Address - Fax:303-788-1967
Practice Address - Street 1:701 E HAMPDEN AVE
Practice Address - Street 2:STE 410
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2736
Practice Address - Country:US
Practice Address - Phone:303-788-1312
Practice Address - Fax:303-788-1967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04012621Medicaid
COB2408Medicare ID - Type UnspecifiedCOLORADO ARTHRITIS CENTER