Organization Name: | BIENESTAR GROUP |
NPI Number: | 1982919809 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES WINKLER (CEO) |
Mailing Address: | 4860 Chambers Rd Suite 256 Denver |
State: | CO US |
Postal Code: | 802395152 |
Phone Number: | 7192468449 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2010 |
NPI Last Update Date: | 08/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |