| Susan Forde-bunch Pc | |
|
5460 Ward Rd Suite 210 Arvada CO 80002-1825 | |
| (303) 431-5641 | |
| (303) 467-1145 |
| Full Name | Susan Forde-bunch Pc |
|---|---|
| Speciality | Social Worker |
| Location | 5460 Ward Rd, Arvada, Colorado |
| Authorized Official Name and Position | Susan Forde-bunch (OWNER) |
| Authorized Official Contact | 3034315641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Forde-bunch Pc 5460 Ward Rd Suite 210 Arvada CO 80002-1825 Ph: (303) 431-5641 | Susan Forde-bunch Pc 5460 Ward Rd Suite 210 Arvada CO 80002-1825 Ph: (303) 431-5641 |
| NPI Number | 1801025507 |
|---|---|
| Provider Enumeration Date | 07/02/2009 |
| Last Update Date | 07/02/2009 |
| Medicare PECOS PAC ID | 0446302392 |
|---|---|
| Medicare Enrollment ID | O20090723000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801025507 | NPI | - | NPPES |
| 1508910043 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 985058 (Colorado) | Primary |
| Provider Name | Susan Forde-bunch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508910043 PECOS PAC ID: 8729130679 Enrollment ID: I20090723000489 |
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