Organization Name: | AGELESS MEN'S HEALTH HOLDINGS, INC |
NPI Number: | 1134476179 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA C. MCCLELLAN (VP OF OPERATIONS) |
Mailing Address: | 8575 E Arapahoe Rd Suite G Greenwood Village |
State: | CO US |
Postal Code: | 801121435 |
Phone Number: | 3037700028 |
Fax Number: | 3037700085 |
NPI Enumeration Date: | 08/09/2012 |
NPI Last Update Date: | 05/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |