Provider Demographics
NPI:1679304968
Name:FEDERAL EMPLOYEE INJURY CENTERS
Entity type:Organization
Organization Name:FEDERAL EMPLOYEE INJURY CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-577-9977
Mailing Address - Street 1:5191 S YOSEMITE ST STE B
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3360
Mailing Address - Country:US
Mailing Address - Phone:303-577-9977
Mailing Address - Fax:303-694-4341
Practice Address - Street 1:5191 S YOSEMITE ST STE B
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3360
Practice Address - Country:US
Practice Address - Phone:303-577-9977
Practice Address - Fax:303-694-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty