Provider Demographics
NPI:1174796759
Name:CHRIS FANALE, P.C.
Entity type:Organization
Organization Name:CHRIS FANALE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:FANALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-328-7180
Mailing Address - Street 1:5270 S ESTES WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7304
Mailing Address - Country:US
Mailing Address - Phone:303-328-7180
Mailing Address - Fax:
Practice Address - Street 1:5270 S ESTES WAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7304
Practice Address - Country:US
Practice Address - Phone:303-328-7180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO434482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty