Provider Demographics
NPI:1992714356
Name:CHOTEAU LLC
Entity type:Organization
Organization Name:CHOTEAU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-972-2000
Mailing Address - Street 1:8966 W BOWLES AVE STE J
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3454
Mailing Address - Country:US
Mailing Address - Phone:303-972-2000
Mailing Address - Fax:303-972-2022
Practice Address - Street 1:8966 W BOWLES AVE STE J
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3454
Practice Address - Country:US
Practice Address - Phone:303-972-2000
Practice Address - Fax:303-972-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========OtherTAX ID NUMBER
CO5101160001Medicare ID - Type UnspecifiedMEDICARE